Commercial and Medicare Advantage Payment for Anesthesiology Services
June 16th 2021Mean in-network commercial allowed amounts and charges per anesthesia conversion factor are 314% and 659% of traditional Medicare rates, respectively. Medicare Advantage payments align with traditional Medicare prices.
Association of Co-pay Elimination With Medication Adherence and Total Cost
This study evaluated cost and utilization attributed to members enrolled in a health care program with no pharmacy co-pay. Health care savings were identified in addition to medication adherence improvements.
Management of Individuals With Multiple Chronic Conditions: A Continuing Challenge
June 11th 2021The prevalence of individuals with multiple chronic conditions continues to increase. Evidence-based modifications to care delivery processes can help to improve care management effectiveness.
COVID-19 and Clinic Workflow Optimization Using Lean Six Sigma
June 10th 2021The authors report an approach of outpatient clinic workflow reorganization utilizing simple, inexpensive measures to improve patient engagement and experience in addition to providing a safe setting for patients for clinic visits in the wake of COVID-19.
Managed Care COVID-19 Outcomes in a Population Health Program
Data from 38,193 patients showed that managed care patients have COVID-19 risk factors similar to those of the general population and that a population health program decreased mortality.