The Patient's Toolbox for Better Decision Making
May 29th 2015At Patient-Centered Diabetes Care held April 16-17 in Boston, Massachusetts, Patrick J. O'Connor, MD, MA, MPH, senior clinical investigator at HealthPartners Institute for Education and Research and clinical associate professor or family medicine and community health at the University of Minnesota School of Medicine, kicked off the meeting with a discussion communicating treatment information to patients.
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Task Force Offers Recommendations for EHR Challenges
May 29th 2015Despite fast adoption of electronic health records (EHRs) over the past 5 years, many clinicians have voiced concerns about the unintended clinical consequences of EHR use, such as reduced time for patient-clinician interactions, burdensome data entry tasks for front-line clinicians, and interoperability troubles.
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The Problem With Informed Consent as It Is Practiced
May 29th 2015While the concept of informed consent it a good one, there is a fundamental problem with the informed consent and how it is practiced today, writes Harlan Krumholz, MD, SM, professor of cardiology, epidemiology, and public health.
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New Payment Model Aims to Reduce Cardiovascular Risk
May 28th 2015A new payment model through the Affordable Care Act seeks to decrease cardiovascular disease for tens of thousands of Medicare beneficiaries by assessing patient risks for heart attack and stroke and then helping them to reduce those risks.
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Characteristics, Medication Use of Early Marketplace Enrollees
May 28th 2015Individuals who enrolled in health insurance on the Affordable Care Act's marketplaces had lower average drug spending and were less likely to use most medication classes than patients with employer-sponsored coverage, according to a study published in Health Affairs.
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Medical Loss Ratio Draws Early Reaction in Medicaid Managed Care Rule
May 27th 2015The medical loss ratio recommendation sought by CMS mirrors requirements for qualified health plans under the ACA. Insurers say a blanket requirement will not align with successful measures at work in several states.
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Benefit Design for Newly Eligible Adults in Medicaid Expansion States
May 27th 2015A review of the benefit design choices made by states that expanded Medicaid (as of the end of 2014), revealed that states are offering more generous coverage that what is required under federal law, according to researchers with The Commonwealth Fund.
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Smart Packaging: A Component of Your Adherence Strategy
May 27th 2015Packaging by itself is an adherence technology and will revolutionize data collection on adherence, but the future will find this technology part of the greater plecosystem using a virtual health assistant as the "air traffic controller.
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Avoiding Risk Using New X Modifiers for Medicare Reimbursement
May 26th 2015On January 1, 2015, the Centers for Medicare & Medicaid Service (CMS) introduced 4 Healthcare Common Procedure Coding System modifiers, known collectively as the - X(EPSU) modifiers, as a subset of Current Procedural Terminology (CPT) modifier 59 (distinct procedural service).
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Creating Sustainable Business Models for Innovative Care Delivery
May 26th 2015Innovative care delivery programs intended to improve quality and reduce costs need sustainable business models in order to last beyond the end of grants or other methods of time-limited funding. RAND researchers take a look at methods Massachusetts health plans and accountable care organizations are using.
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As States Await ACA Ruling, Accounts Emerge of Congress' Intent and Looming Fallout
May 26th 2015An account in The New York Times comes closest to identfying the drafting error that set in motion King v. Burwell, the case that could unravel a key feature of the Affordable Care Act. Meanwhile, experts predict that a ruling for the plaintiffs will create political fallout for more Republicans than Democrats.
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Trial Results Associate Depression With Increased Mortality Risk
May 26th 2015The results of an ongoing study, presented at the annual meeting of the Heart Failure Association of the European Society of Cardiology in Seville, Spain, identified a 5-fold increased risk of death in heart failure patients who were depressed.
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The Growth of Retail Clinics for Healthcare Delivery
May 25th 2015As more patients become insured under the Affordable Care Act, driving demand for primary care and urgent care services, there is an increased need for alternative service sites, according to an analysis from Alvarez & Marsal.
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CMS Folds in Florida Medicaid Impasse, but Funding Cuts Mean Expansion Still Pays
May 25th 2015The Obama Administration says that Florida can receive $1 billion this year and $600 million next year to pay for uncompensated care in safety net hospitals. However, the administration made it clear that more funding awaits the state if Medicaid expansion reaches those up to 138% of the federal poverty line.
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