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Reform Update: Medicare Managed Care Linked to Overall Savings, Study Finds
Hospital visits are shorter and less costly for all patients in markets with more of them enrolled in Medicare managed care, according to new research. The results suggest hospitals make far-reaching changes to delivery as incentives to better manage care increase.
Incentives to coordinate care prompt investments, such as information technology, and widespread adoption of new delivery models that ultimately benefit all patients, regardless of insurance, a trio of Harvard University researchers wrote in a paper published by the National Bureau of Economic Research.
Hospital costs for enrollees in traditional fee-for-service Medicare would drop by $600 million when the Medicare Advantage market share increases 5 percentage points of the market, according to an analysis of spending at the county level in five states.
Read the full story here: http://bit.ly/10EgPlF
Source: Modern Healthcare
Similar outcomes may be true for other Medicare models—including accountable care and bundled payments under health reform—that seek to incentivize greater care management as managed care does, said Katherine Baicker, a health economics professor at the Harvard School of Public Health, who co-authored the paper with Michael Chernew and Jacob Robbins.
Laundromats as a New Frontier in Community Health, Medicaid Outreach
May 29th 2025Lindsey Leininger, PhD, and Allister Chang, MPA, highlight the potential of laundromats as accessible, community-based settings to support Medicaid outreach, foster trust, and connect families with essential health and social services.
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From Red Tape to Relief: Rewriting the Rules of Prior Authorization
June 23rd 2025Up to 257 million Americans could benefit from these prior authorization reforms that could have cross-market implications on health care plans administered through commercial insurers, Medicare Advantage, and Medicaid.
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New Research Challenges Assumptions About Hospital-Physician Integration, Medicare Patient Mix
April 22nd 2025On this episode of Managed Care Cast, Brady Post, PhD, lead author of a study published in the April 2025 issue of The American Journal of Managed Care®, challenges the claim that hospital-employed physicians serve a more complex patient mix.
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How Value-Based Care With Provider Enablement Improves Maternal and Infant Outcomes in Medicaid
June 12th 2025Supported value-based care improves prenatal care while reducing neonatal intensive care unit stays, preterm birth rates, low birth weight rates, and costs for mothers and infants.
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