Population Health

The Affordable Care Act encourages preventive care, like cancer screenings, by eliminating copays, so that additional years will only see the number of lives saved grow, noted Fumiko Chino, MD, assistant attending radiation oncologist at Memorial Sloan Kettering Cancer Center in New York, in an interview prior to ASCO20 Virtual, this year’s annual meeting of the American Society of Clinical Oncology.

This study examines the New Jersey Delivery System Reform Incentive Payment (DSRIP) program using hospital web surveys and key informant interviews and finds progress toward data-driven population health management for low-income patients.

Oklahomans vote to expand Medicaid amid the coronavirus disease 2019 (COVID-19) pandemic; Anthony Fauci, MD, cautions Congress that the daily number of new COVID-19 cases could reach 100,000 if outbreaks are not suppressed; public health departments must fight the spread of COVID-19 with lower funding and insufficient staff.

Voters in Oklahoma will decide whether or not to amend the state's constitution to expand Medicaid; new studies find that nearly 300 children in the United States have contracted a rare inflammatory disorder related to coronavirus disease 2019 (COVID-19); the House of Representatives passed a bill aimed to bolster the Affordable Care Act.

Lockdown because of coronavirus disease 2019 (COVID-19) is not an option in impoverished and war-torn countries; the FDA grants emergency use clearance to Danaher Corp's COVID-19 antibody test; strategizing amid misinformation spread on the pandemic.

The Trump administration and Republican state attorneys general called on the Supreme Court to overturn the entire Affordable Care Act (ACA, also known as Obamacare). President Trump has endorsed repealing the ACA since his 2016 campaign, while Republican lawmakers have largely opposed the law since its inception in 2010.

During the National Association of Accountable Care Organizations Virtual 2020 Spring Conference, panelists discussed how data sharing can be implemented in health care systems and spur the evolution of population health management.

Technology has made it easier to deliver health care in the home in recent years, but the financing models have not caught up just yet.

During AHIP’s Institute & Expo Online 2020, the conversation focused on the impact the pandemic has had on health coverage and what can be done to improve health equity, among other issues.

Bold Goal is Humana’s effort to address holistic health needs in key markets, in part by working with community partners to address social determinants of health. The program seeks to tackle barriers such as lack of food or housing and social isolation that contribute to chronic disease.

Research has established an association between social risk factors and child health outcomes, while professional medical organizations have endorsed screening for such factors in clinical settings. Providing an in-person patient navigator to address family social needs leads to a decrease in child health care utilization, according to a study published in JAMA Network Open.

A study released Monday used national Medicare data to try and understand disparities between black and white patients in avoidable hospitalizations for ambulatory care–sensitive conditions.

Medicaid expansion was associated with a decrease in nonprofit hospitals’ burden of providing uncompensated care, according to a study published in JAMA Network Open. However, hospitals did not redirect this financial relief toward spending on additional community benefits.

There will never be all mandatory payment models or all value-based models, but we can craft a value-based model around just about anything as long as everybody agrees on what the criteria is, said Lili Brillstein, CEO of Brillstein Collaborative Consulting, and former Director for Episodes of Care at Horizon Blue Cross Blue Shield of New Jersey.

When deciding which treatments to cover, states and commercial payers must wrestle with opportunity costs as new therapeutics come to market. A panel at Virtual ISPOR 2020 discussed some of the factors that go into those decisions.

At the opening session of this year's Virtual ISPOR 2020 conference, panelists shared their views on what future health care systems can learn from the current pandemic crisis.

The cost of giving birth in the United States can vary by thousands of dollars depending on where the birth takes place. In Arkansas, inpatient birth charges come out to roughly $8300, but that total rises to nearly $20,000 in New York.

Lupin Pharmaceuticals Inc. (Lupin) announced positive results from its phase 3 trial assessing the efficacy and safety of secnidazole (Solosec) in female patients with trichomoniasis. Although trichomoniasis is common in the United States, the risk of being infected with the infection is nearly 10 times higher for African American women compared with non-Hispanic white women.

Northeastern states formed a consortium to purchase personal protective equipment and other supplies to cope with coronavirus disease 2019 (COVID-19); the pandemic highlights public health identitity crisis; President Trump revises US pandemic death toll.

Day 1 of Virtual COA 2020, this year’s Community Oncology Conference, kicked off with the panel discussion, “Top Oncology Issues Now & Looking Ahead,” led by Bo Gamble, director of Strategic Practice Initiatives at the Community Oncology Alliance. Topics covered ran the gamut: from Zoom being everyone’s new middle name to telehealth to caring for patients’ medical and social needs and beyond.

In the United States, heart failure affects a patient population of over 6.5 million. Through medication management, transportation, and emotional support, among the many tasks they assist with, these patients’ caregivers provide services valued at $7.9 billion annually.

In a preview interview for this year’s 2020 Community Oncology Conference, The American Journal of Managed Care® speaks with Anshu Jain, MD—radiation oncologist at Ashland Bellefonte Cancer Center in Ashland, Kentucky; assistant clinical professor at the Yale School of Medicine; and Community Oncology Alliance board member—on how important it is to always strive for excellence in medicine.

“The brunt of COVID-19 will be borne by the poor, elderly, and sick, and it is up to us to ensure they are not left behind” – Former US Surgeon General Vivek Murthy

The number of US adults at high risk for vision loss increased from 2002 to 2017, according to an observational study based on national survey data.

An updated emergency visit classification tool enables managers to make valid inferences about levels of appropriateness of emergency department utilization and healthcare needs within a population.

Co-pay accumulator adjustment programs can have different effects for individuals with varying health plan types or income levels, explained Bruce Sherman, MD, chief medical officer of the National Alliance of Healthcare Purchaser Coalitions.

During the 2018 International AIDS Conference, the US President’s Emergency Plan for AIDS Relief (PEPFAR) and the Elton John AIDS Foundation revealed initial results from the LGBT Fund, which they launched in 2016. PEPFAR also announced over $360 million in funding over the next 12 months.

Last month, the Huntsman Cancer Institute at the University of Utah announced the opening of the Huntsman Center for Health Outcomes and Population Equity (HOPE). The research and clinical center is dedicated to preventing cancer and improving health among underserved populations.

Clinical trials researching cancer therapies should be more inclusive of a broader range of patients, according to the American Society of Clinical Oncology (ASCO) and Friends of Cancer Research.