ACR and NPF Unveil New Clinical Guideline for Treating Psoriatic Arthritis
November 8th 2017On Tuesday afternoon, the American College of Rheumatology (ACR) and the National Psoriasis Foundation (NPF) presented a draft of their new, jointly developed clinical guideline for treating psoriatic arthritis (PsA), at the ACR 2017 Annual Meeting.
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Value-Based Contracting in the "Era of Unknowns"
November 8th 2017In a Tuesday session at the American College of Rheumatology’s 2017 Annual Meeting in San Diego, California, Greg Mertz, MBA, FACMPE, managing director for Physician Strategies Group, LLC, presented a talk title “Value Contracting: Opportunities of Fantasy?” in which he outlined the current landscape for performance-based contracting.
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Abstracts Analyze Collected EHR Data and Sarilumab Outcomes for Patients With RA
November 7th 2017A recap of abstracts presented at The American College of Rheumatology’s 2017 Annual Meeting, including an analysis of data available in an electronic health records database and outcomes and cost effectiveness of sarilumab.
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Dr Jeanette Stingone on Environmental Factors That Impact Public Health
November 7th 2017There are a number of environmental factors with significant public health impacts that people don't necessarily think of; for instance, products out in the market haven't necesarily been tested for safety, which comsumers should keep in mind, explained Jeanette Stingone, PhD, of Mount Sinai Health System.
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2017 Sees Progress in Approvals for Anti-Rheumatic Drugs
November 7th 2017Kamala Nola, PharmD, MS, professor at the Lipscomb University College of Pharmacy, provided an overview of the drugs that have been approved in the past year for the treatment of inflammatory conditions during a session at the 2017 American College of Rheumatology Annual Meeting,
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Rheumatology Patients at Increased Risk for Cardiac Disease
November 7th 2017During a session at the 2017 American College of Rheumatology Annual Meeting in San Diego, California, a cardiologist joined rheumatologists to give a detailed look at the relationship between rheumatic conditions and cardiovascular disease.
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MACRA Challenges Lead to New ACR Alternative Payment Model
November 6th 2017A panel discussion, titled, "Holy MACRA! How to Survive and Thrive in the New Era of MACRA, MIPS and APMs," was presented on Sunday at the 2017 American College of Rheumatology (ACR) Annual Meeting in San Diego, California.
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Rheumatologists' Frustrations With PBMs Take Center Stage
November 6th 2017The title "Reshaping the Relationship Between Physicians and PBMs" suggested that the Sunday session at the 2017 American College of Rheumatology’s Annual Meeting in San Diego, California, would focus on reconciling the goals of providers and pharmacy benefit managers (PBMs), but physicians’ challenges in dealing with PBMs quickly became the primary focus of the panel discussion.
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Dr Ira Klein Outlines the Biggest Challenge of Value-Based Drug Pricing
November 5th 2017The healthcare industry is getting better at creating value-based drug pricing arrangements, and even if they never dominate the market, there will always be a place for these contracts, said Ira Klein, MD, MBA, FACP, senior director of healthcare quality strategy for the Strategic Customer Group at Janssen Pharmaceuticals.
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Christi Deaton: Challenges of Motivating Patients to Participate in CVD Prevention Strategies
November 4th 2017The biggest challenges in promoting cardiovascular prevention strategies is motivating people to change a lifetime of poor habits into healthier habits, explained Christi Deaton, PhD, RN, FAHA, FESC, of the University of Cambridge.
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Moving Specialties and the Whole Healthcare Industry to Value-Based Payment Models
November 2nd 2017During the final panel at the fall meeting of the ACO & Emerging Healthcare Delivery Coalition® in Nashville, Tennessee, panelists discussed the progress specialties have made in moving to value-based payment models, as well as the challenges facing the industry as a whole. The panel consisted of 3 individuals who provided perspectives from specific specialties, and 1 with an overall policy perspective.
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Dr Frank James on Improving Treatment for Addiction
November 1st 2017Improving treatment for addiction means first recognizing that addiction is a chronic disease and also understanding that relapse is part of the disease process, explained Frank James, MD, JD, of American Society of Addiction Medicine.
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The Challenge of Adjusting Health Measures for Social Risk Factors
October 31st 2017There have been tremendous improvements in healthcare quality and performance measurements, but one area where more needs to be done is incorporating social risk factors into these measurements, said Shantanu Agrawal, MD, CEO and president of National Quality Forum.
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Navigating the Politics of the Healthcare Landscape
October 30th 2017At the fall ACO & Emerging Healthcare Delivery Coalition®, Clay Alspach, JD, principal at Leavitt Partners, discussed navigating the current political and payment reform landscape, making sense of the uncertainty, and preparing for the unexpected.
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Making the Case for Integrated Care and Physician Engagement With Addiction Patients
October 30th 2017A back to back session and panel at the falls’ ACO & Emerging Healthcare Delivery Coalition focused on the importance of utilizing integrated healthcare to treat individuals with addiction and ensuring physicians are educated on understanding addiction.
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Dr Shantanu Agrawal: Incorporating Social Risk Factors Into Performance Measures
October 28th 2017Over 2 years, the National Quality Forum (NQF) studied how to best incorporate social risk factors into healthcare measurements and identified the biggest challenges, said Shantanu Agrawal, MD, MPhil, CEO and president of NQF.
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Visualizing the Role of Social Determinants in Clinical Care
October 28th 2017A simple model can help health systems incorporate the social determinants of health into their clinical programs, according to presenters at the National Association of Managed Care Physicians Fall Managed Care Forum 2017.
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Innovative Strategies for Boosting Medication Adherence in the Real World
October 28th 2017At a session during the National Association of Managed Care Physicians Fall Managed Care Forum 2017, speakers discussed how new approaches to encouraging medication adherence can help improve outcomes in patients with chronic diseases.
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Measuring ACO Performance From the Health Plan and Provider Perspectives
October 28th 2017David V. Axene, FSA, FCA, CERA, MAAA, outlined how more accurately measuring and evaluating the performance of accountable care organizations (ACOs) can help both health plans and providers succeed in their risk sharing contracts during a session at the National Association of Managed Care Physicians Fall Managed Care Forum 2017.
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Expanding Options for Individualized Treatment of Advanced NSCLC
October 27th 2017James R. Jett, MD, gave an overview of the advances in diagnosis and treatment of non–small cell lung cancer (NSCLC) during a session at the National Association of Managed Care Physicians Fall Managed Care Forum 2017.
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Consumer-Driven Trends Present Opportunities Across The Healthcare Journey
October 26th 2017Industries including healthcare continue to adapt to the increasingly powerful voice of the consumer, according to Venkat Inumella, MBA, associate partner at McKinsey, who discussed this trend toward consumerism during the first keynote session of the National Association of Managed Care Physicians Fall Managed Care Forum 2017.
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Laying Strong Foundations for a Population Health Focus
October 26th 2017At the National Association of Managed Care Physicians Fall Managed Care Forum 2017, James J. Bleicher, MD, MHCM, regional president of SSM Health, discussed the foundational steps necessary for healthcare organizations looking to transform their business to focus on population health.
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Stakeholders Weigh-in on Payment Reform in Cancer Care
October 25th 2017Tuple Health, a healthcare technology startup, interviewed some of the stakeholders participating in value-based care delivery and OCM, to gain their perspective of the state of cancer care and healthcare reform. The results were presented at the Community Oncology Alliance Payer Exchange Summit on Oncology Payment Reform.
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The Commercial Payer OCM Experience: Year 1
October 25th 2017Representatives from 3 payers who partnered with providers on the Oncology Care Model (OCM) took the stage at Community Oncology Alliance (COA)’s Payer Exchange Summit on Oncology Payment Reform to outline their experience with OCM and how it has differed from other care models.
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Physicians Need Clearer Metrics Before Taking on 2-Sided Risk
October 25th 2017Before physicians will be more willing to take on 2-sided risk, there needs to be clearer metrics that the physicians know will be achievable, said Sarah Cevallos, chief revenue cycle officer at Florida Cancer Specialists.
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Dr Lucio Gordan: How Practices and Payers Work Together to Implement OCM
October 24th 2017The implementation of the Oncology Care Model has brought profound culture changes to how oncologists take care of patients and how they operate practices, explained Lucio Gordan, MD, of Florida Cancer Specialists.
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