Fee-For-Service Thwarts Value-Based Care's Intention
July 1st 2014Society wants the healthcare system to improve the population's overall health while caring for the sick at a lower overall cost. The term of art is providing value-based care. Yet system leaders are stuck with a reimbursement system that still rewards volume through fee-for-service medicine.
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Equal Benefit from Cetuximab and Bevacizumab in mCRC
June 30th 2014For patients with KRAS wild-type untreated colorectal cancer, adding cetuximab or bevacizumab to combination chemotherapy offers equivalent survival, researchers said at the ESMO 16th World Congress on Gastrointestinal Cancer in Barcelona
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Sunshine Act Exemption for CME Payments Could Shift Marketing
June 30th 2014A CMS rule that exempts drug and medical-device companies from having to disclose indirect payments to physicians for accredited continuing medical education could prompt manufacturers to shift their marketing dollars toward CME and away from direct promotional programs for their products, experts say.
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ACOs Test Traditional Healthcare Delivery Models
June 27th 2014Providers recently reviewed the cost-effectiveness of accountable care organizations (ACOs). While half of surveyed providers said value-based reimbursement had potential to improve population health management, as well as the patient experience, 80% said it would require more staff, more time, and greater financial investments.
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Study Finds Low-Dose Aspirin Can Reduce the Risk of Pancreatic Cancer
June 26th 2014The longer a person took low-dose aspirin, the lower his or her risk for developing pancreatic cancer, according to a study published in Cancer Epidemiology, Biomarkers & Prevention, a journal of the American Association for Cancer Research.
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HIT, Telemedicine Could Be Cost-Effective In Diabetes Care
June 26th 2014Adherence is important to improving the health outcomes of patients with diabetes. Health technology and digital tools are just on way providers are encouraging patients to remain consistent with the treatment regimens.
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Wearable Devices, mHealth Can Lead to True Patient Engagement
June 26th 2014Smart watches, mHealth apps, and Bluetooth scales may just be edging into the social consciousness as a viable way to monitor personal health and manage chronic diseases, but EHR developers have been eyeing these technologies for some time, seeing them as valuable tools in the struggle to engage patients, prevent unnecessary readmissions, reduce costs, and promote long-term health.
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Hospital Outpatient Prices Sharply Higher than Docs', Study Finds
June 26th 2014Hospital outpatient prices for standard blood tests, cancer screening and other services varied widely and were sharply higher, on average, than prices charged by ambulatory clinics and independent doctors, an analysis of autoworker health-plan spending across 18 cities has found.
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In Push to Extend Medicaid Pay Bump, Docs Downplay ACA Link
June 25th 2014Physician groups are lobbying hard to extend an Obamacare provision that requires state Medicaid programs to pay primary-care physicians at higher Medicare rates to improve access for Medicaid patients. But to persuade congressional Republicans to go along, they are downplaying the fact that the pay bump is part of the Patient Protection and Affordable Care Act.
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Managed Care Market Strategies 2014 Session Highlights
June 24th 2014This week, The American Journal of Managed Care is covering CBI's 7th Summit on Managed Care Market Strategies taking place in Philadelphia, PA. The event includes stakeholder perspectives on improving market access and product value propositions in the evolving healthcare landscape. We continue to spotlight session highlights.
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Disappointment for Advanced NSCLC Patients Expressing EGFR WT
June 24th 2014Phase II study findings show only marginal positive effects of third-line treatment with afatinib for advanced non-small-cell lung cancer (NSCLC) in patients with wild-type epidermal growth-factor receptor (EGFR) tumour status.
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HHS Secretary Wastes No Time-Insurance Exchange Management Changes to Come
June 23rd 2014With just two weeks under her belt, Health and Human Services (HHS) Secretary Sylvia Mathews Burwell announced a series of changes that will be made to the federal health insurance marketplace following the enrollment and technological problems that ensued the launch of healthcare.gov earlier this year.
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