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Report: Payment Reform Needed For Medical Homes
The report, written by researchers at Mathematica Policy Research in Washington, asserts that payment changes must be made to reimburse these practices for time spent coordinating care and for integrating care coordinators into primary-care teams.
Dr. Eugene Rich and colleagues studied organizations operating as medical homes in Massachusetts, Minnesota, North Carolina, Ohio and Wisconsin, and their findings appear in the American Academy of Family Physicians' journal as well as in a longer white paperpublished by HHS' Agency for Healthcare Research and Quality. The study was funded by AHRQ.
Read more at: http://tinyurl.com/75zpzyq
Source: Modern Physician
Transforming smaller physician practices into patient-centered medical homes presents great opportunities for higher-quality care at lower costs for patients who have complex healthcare needs, but payment reforms are needed, according to a report in the Annals of Family Medicine.
AI in Health Care: Closing the Revenue Cycle Gap
April 1st 2025This commentary explores the current state, challenges, and potential of artificial intelligence (AI) in health care revenue cycle management, emphasizing collaboration, data standardization, and targeted implementation to enhance adoption.
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Navigating Sport-Related Neurospine Injuries, Surgery, and Managed Care
February 25th 2025On this episode of Managed Care Cast, we speak with Arthur L. Jenkins III, MD, FACS, CEO of Jenkins NeuroSpine, to explore the intersection of advanced surgical care for sport-related neurospine injuries and managed care systems.
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Financial, Housing, Food Insecurity Raises Risk of Hospital, ED Visits
April 1st 2025Social determinants of health been long understood to influence health outcomes, and this new analysis explores more deeply the link between social risk exposure and rates of health care resource utilization.
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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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Managed Care Reflections: A Q&A With Hoangmai H. Pham, MD, MPH
April 1st 2025To mark the 30th anniversary of The American Journal of Managed Care® (AJMC®), each issue in 2025 will include a special feature: reflections from a thought leader on what has changed—and what has not—over the past 3 decades and what’s next for managed care. The April issue features a conversation with Hoangmai H. Pham, MD, MPH, a member of AJMC’s editorial board and the president and CEO of the Institute for Exceptional Care (IEC).
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