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.
Read the full story: http://bit.ly/X3Y3mX
Source: ModernHealthcare.com
What's at Stake as Oral Arguments Are Presented in the Braidwood Case? Q&A With Richard Hughes IV
April 21st 2025Richard Hughes IV, JD, MPH, spoke about the upcoming oral arguments to be presented to the Supreme Court regarding the Braidwood case, which would determine how preventive services are guaranteed insurance coverage.
Read More
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.
Listen
Comparing Breast Cancer Treatment Outcomes Between Fee-for-Service and Medicare Advantage
April 4th 2025This study examined postdiagnosis breast cancer treatment outcomes for Medicare Advantage vs fee-for-service (FFS) Medicare in Ohio and found no significant differences overall but disparities for Black patients with FFS Medicare.
Read More