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Managed Care Minute: March 28, 2015
A one-minute look at managed care news during the week of March 23, 2015, including the 5-year anniversary of the Affordable Care Act and another step toward value-based payments.
This week was the 5-year anniversary of the Affordable Care Act, and HHS announced that uncompensated hospital care costs were reduced $7.4 billion in 2014, mostly due to Medicaid coverage expansion.
Plus, the HHS held the inaugural meeting of the Health Care Payment Learning and Action Network, a public-private partnership to discuss efforts to move healthcare toward a system that pays based on quality rather than quantity.
To learn more about the shift to value-based payments, join The American Journal of Managed Care in San Diego for the ACO and Emerging Healthcare Delivery Coalition, April 30 and May 1. To see the agenda and to register visit http://www.ajmc.com/acocoalition/spring15
Health Care Utilization and Cost of Diagnostic Testing for Respiratory Infections
September 17th 2025Syndromic reverse transcriptase–polymerase chain reaction tests for respiratory infections were associated with lower health care resource utilization and costs, implicating potential for improved value in patient care.
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AI in Health Care: Balancing Governance, Innovation, and Trust
September 2nd 2025In this conversation with Reuben Daniel, associate vice president of artificial intelligence at UPMC Health Plan, we dive into how UPMC Health Plan builds trust with providers and members, discuss challenges of scaling AI effectively, and hear about concrete examples of AI's positive impact.
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Infertility Coverage Boosts ART Use and Pregnancy Success: Richard A. Brook, MS, MBA
August 26th 2025In this episode, Richard A. Brook, MS, MBA, discusses his study showing that infertility treatment coverage increases assisted reproductive technology (ART) use and improves pregnancy outcomes.
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