Reforming the Healthcare Delivery System
September 30th 2014At the America's Health Insurance Plans' National Conference on Medicare and Medicaid and Dual Eligibles Summit in Washington, DC, Patrick Conway, deputy administrator for innovation and quality and chief medical officer for CMS, spoke on the future of delivery system reform.
Read More
Fully Integrating Medicaid, Medicare Benefits May Not Reduce Spending
September 30th 2014Plans designed specifically for disabled dual-eligible Medicare and Medicaid beneficiaries are not necessarily enough to reduce use of costly services, according to a new report from the Government Accountability Office.
Read More
Medicaid Enrollees Have Difficulty Getting Access to Care
September 29th 2014Medicaid enrollment under the Affordable Care Act grew even in states that chose not to expand eligibility, making access to care a more pressing issue, according to a new report issued by HHS' Office of the Inspector General.
Read More
Costs Can Go Up Fast When ER Is in Network but the Doctors Are Not
September 29th 2014Even the most basic visits with emergency room physicians and other doctors called in to consult are increasingly leaving patients with hefty bills: More and more, doctors who work in emergency rooms are private contractors who are out of network or do not accept any insurance plans.
Read More
For the Right Employers, ACOs Can Bring Shared Savings
September 29th 2014The accountable care organization, or ACO, can be a mechanism for employers to achieve healthcare savings, according to a just-published article in The American Journal of Accountable Care, the publication of The American Journal of Managed Care dedicated to healthcare reform.
Read More
HHS Grants $212 Million to Fight Chronic Diseases
September 27th 2014Nearly $212 million in grant awards has been made available to all 50 states and the District of Columbia to support programs aimed at preventing chronic diseases, according to a recent announcement by HHS Secretary Sylvia M. Burwell.
Read More
Three More Quit Medicare's Pioneer ACO Program
September 26th 2014Life for accountable care organizations (ACOs) in Medicare's Pioneer program appears to be as tough as that on the prairie itself: only the strongest are surviving. Yesterday, 3 more ACOs exited the program, according to numerous news reports. This morning the web site for the Centers for Medicare and Medicaid Services' Pioneer program listed only 19 ACOs from the original 32 that were part of the initiative when it launched in 2012.
Read More
Uncompensated Hospital Care to Plummet $5.7B Due to ACA; States Expanding Medicaid Benefit Most
September 25th 2014Managed care has an answer to what happens when previously uninsured patients suddenly gain coverage: the cost of uncompensated care falls substantially, and so do the numbers of patients showing up at hospitals and emergency rooms without insurance.
Read More
Treating Late-Stage Lung Cancer Not Cost-Effective: JTO Study
September 25th 2014A prospective study published in The Journal of Thoracic Oncology found that the average cost to screen high-risk individuals for developing lung cancer with low-dose computed tomography plus the average cost of curative intent treatment, like surgery, is lower than the average cost to treat advanced stage lung cancer, which quite rarely results in a cure.
Read More
Hospitals' Uncompensated Care Costs Will Decline $5.7 Billion
September 24th 2014The Affordable Care Act will save hospitals a projected $5.7 billion in uncompensated care this year, according to a report released by HHS. Roughly three-quarters of those savings are coming from Medicaid expansion states.
Read More
NCI's New Approach With The Exceptional Responder Initiative
September 24th 2014With the aim of understanding why some patients respond better to a particular drug, NCI has launched the Exceptional Responders Initiative, to generate molecular profiles of tumors that respond well to a particular treatment.
Read More
Eight Strategies to Drive Patient Engagement and Improve Healthcare Delivery
September 24th 2014Patient experience and satisfaction is becoming an increasingly important aspect of providing healthcare, and a new roadmap outlines opportunities and key strategies to include patients and families in healthcare delivery.
Read More