AARP Medicare Plan Cuts Signal Major Changes, Says UnitedHealthcare CEO
November 11th 2013For all the current focus on Obamacare lurching into its infancy, 50-year-old Medicare is also undergoing profound and disruptive change as Congress struggles with soaring medical bills and a growing senior population.
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Which Models Will Improve Patient Outcomes?
November 8th 2013Whereas population health focuses on the outcomes within a specific group, personalized medicine seeks to customize care delivery at the individual level. A recent discussion between Dr Eric Topol, director, Scripps Translational Science Institute, and Dr Farzad Mostashari, former director of the Office of the National Coordinator for Health Information Technology, highlighted the diverging opinions of where future healthcare models need to go.
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More O-Care Site Problems 'Downstream'
November 8th 2013The agency tasked with implementing the president's healthcare law said Thursday it had uncovered new stresses further downstream in the system that revealed the need for a fresh look at the back-end capacity needs of the online healthcare portal.
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CMS Technology Leader Trenkle Steps Down
November 7th 2013Tony Trenkle, the laconic federal official who was both the CMS' point man on the $16.6 billion electronic health-record incentive payment program and its technology leader during the launch of the troubled HealthCare.gov, will be stepping down as the agency's chief information officer and its director of information services to work in the private sector.
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Health Leaders Take on Workforce Changes
November 7th 2013Healthcare reform, an aging population and a physician shortage are factors forcing hospital executives to rethink staffing, both inside and outside hospital walls, according to a panel discussion Tuesday during the U.S. News & World Report's Hospital of Tomorrow conference.
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Medicaid Turning to Analytics, Accountable Care
November 6th 2013Among state experiments in Medicaid policy, Colorado's accountable care collaborative program is showing early successes in coordinating care and curtailing overutilization - and its analytics platform is supporting a good deal of the collaboration, despite a number of hurdles.
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Will Your Specialty Care be Impacted by the Changing Healthcare Landscape?
November 5th 2013Take a mental snapshot of the U.S. health care system as it is today, because in 10 years, you might not recognize it. And if something isn't done now to boost the number of doctors in the U.S., you may not like it, either.
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State, Insurers Base Payments on Value Amid Rising Healthcare Costs
November 5th 2013Ohio is planning to implement a public- and private-sector partnership to cut healthcare costs in the Medicaid program and the private insurance market. The state aims to have 90 percent of its population covered by insurance emphasizing value over volume within five years.
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Physician Shortage Could be Cut by New Primary Care Models
November 5th 2013Much of the shortage of primary care physicians expected over the next decade could be eliminated if the nation increases use of new models of medical care that expand the role of nurse practitioners and physician assistants, according to a new RAND Corporation study.
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AJMC: Hospital of Tomorrow Conference - Insight and Innovation
November 4th 2013The American Journal of Managed Care is attending this week's U.S. News & World Report Hospital of Tomorrow conference in Washington, D.C. The groundbreaking 3-day event features top hospital executives and healthcare visionaries as they address the critical challenges facing health systems, discuss how leading hospitals are creating solutions, and examine the pioneering best practices that are emerging in response.
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Under Health Care Act, Millions Eligible for Free Policies
November 4th 2013Millions of people could qualify for federal subsidies that will pay the entire monthly cost of some health care plans being offered in the online marketplaces set up under President Obama's health care law, a surprising figure that has not garnered much attention, in part because the zero-premium plans come with serious trade-offs.
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Exchange Enrollees Opting for Medicaid, Threatens ACA
November 1st 2013A recent analysis shows that people are electing to enroll in Medicaid instead of buying private health insurance on the 15 state-based health insurance exchanges. It's projected that if this trend continues, there will not be enough healthy young people buying health insurance to make the system work.
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HealthCare.gov's Problems Make Reliable Enrollment Numbers Impossible, Sebelius Says
October 30th 2013One month into open enrollment on the health insurance exchanges, HHS Secretary Kathleen Sebelius apologized for what she described as a "miserably frustrating experience for way too many Americans" on the federal online marketplace known as HealthCare.gov.
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Cancellation of Healthcare Plans Replaces Website Problems as Prime Target
October 30th 2013After focusing for weeks on the technical failures of President Obama's health insurance website, Republicans on Tuesday broadened their criticism of the health care law, pointing to Americans whose health plans have been terminated because they do not meet the law's new coverage requirements.
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Short-Term Plans Can Skirt Health Law Requirements
October 30th 2013Consumers who buy a health insurance policy good for only 364 days might save hundreds of dollars in premiums, but they could also find themselves without important benefits and charged a penalty for not having insurance next year.
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Care Coordination: Inspiring Change from Within
October 29th 2013There has been a lot of press lately about care coordination, and how it will play a significant role in improving patient outcomes. But despite all of this positive coverage, inter-organizational care coordination is far from becoming a reality.
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