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Redesigning Healthcare
Healthcare innovation doesn't happen overnight, or even within three years. On March 23, the U.S. reached the third anniversary of President Barack Obama's signature on the Patient Protection and Affordable Care Act. Much of the attention on the law is trained on the administration's rush to assemble the necessary infrastructure and public awareness in every state to carry out a massive expansion in health insurance coverage in 2014. But policymakers also are nervously fixated on the slow progress of the push to refashion the way healthcare is delivered, which is the unheralded heart of the law.
Healthcare providers are experimenting with new ways of doing business. Many of them, such as accountable care organizations and retail health clinics, are nurtured by a combination of the reform law's changes in Medicare payment policy—providers will get less for hospital care—and competitive responses to a changing marketplace.
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Source: ModernHealthcare.com
Unlocking Access: Exploring Mental Health Care Among Medicaid Managed Care Enrollees
January 23rd 2025On this episode of Managed Care Cast, we speak with the author of a study published in the January 2025 issue of The American Journal of Managed Care® to examine the association between quantitative network adequacy standards and mental health care access among adult Medicaid enrollees.
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Balancing Innovation and Equity in Oncology Value-Based Care: Panel Discussions
January 27th 2025Discussions also delved into the complexities of value-based oncology care, the growing role of real-world data, and strategies to improve access to care in hematology. Across all sessions, a common theme emerged: the need to balance innovation with patient-centered, equitable, and sustainable care models.
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Executive Orders Suggest Swift Pivot in Managed Care and Health Policy
January 22nd 2025President Donald Trump's initial executive orders target previous efforts to reduce health care costs, pandemic preparedness, and international partnerships, showing a stark contrast to the Biden administration.
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