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Coordinated Care Alone May Not Yield ROI, ACPE Told
A federally funded effort to identify high-risk patients and coordinate their care is delivering modest savings, but significant cost reductions may come only after broader payment reforms take hold.
A federally funded effort to identify high-risk patients and coordinate their care is delivering modest savings, but significant cost reductions may come only after broader payment reforms take hold.
The “medical neighborhood” demonstration is generating savings of about 5%, which may not be enough to yield a return on investment for providers, according to preliminary findings shared by Dr. Bruce Bagley, president and CEO of TransforMED. “And that's a problem,” Bagley said, speaking at the American College of Physician Executives annual meeting in Chicago.
TransforMED, a consulting subsidiary of the American Association of Family Physicians dedicated to patient-centered medical homes, is carrying out the experiment with a $20.75 million grant from the CMS Innovation Center, and Bagley cautioned that the CMS had not yet certified the numbers.
Read the full story here: http://bit.ly/1lubXJf
Source: Modern Healthcare
Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
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More Care Doesn't Equal Happier Patients in Traditional Medicare
March 17th 2025Data on care satisfaction, ease managing care, and out-of-pocket spending were the outcomes of interest for this new analysis that investigated the relationship between healthcare utilization and beneficiary experience within traditional Medicare.
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The Impact of Cost Sharing on High-Value Care
March 14th 2025Michael Chernew, PhD, professor of health care policy and director of the Healthcare Markets and Regulation Lab, Harvard Medical School, shares how cost-sharing policies shape access to critical health care services and influence value-based insurance design.
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