New Primary Care Model Fills Gap in Texas
In Texas, primary care practices are trying a new model to help provide care for the uninsured. Kaiser Health News highlighted direct primary care, a model where patients are charged a monthly fee for basic, office-based care. The fee, which ranges from $20 to $75 a month, typically also includes cell phone and after-hours physician access. Proponents say the model provides a safety net, but critics say that since it is not insurance, the model provides a false sense of security.
Las Vegas Hospitals Call in Back Up
After a gunman opened fire on people attending an outdoor concert, killing nearly 60 and injuring hundreds more, hospitals in Las Vegas were flooded with patients. The hospitals called in hundreds of doctors, nurses, and other personnel to help at hospitals seeing more injured patients than they had ever received from 1 event, reported NPR. Hallways were used as extra space to see patients, which is typically accounted for in hospitals’ trauma system plans.
Arkansas Medicaid Spending Higher Than Expected
With higher-than-expected enrollment, Arkansas spending on Medicaid expansion grew almost 24% in the last fiscal year, which ended June 30. Of the $1.9 billion spent on the state’s expanded Medicaid program, Arkansas covered less than $40 million, with the federal government picking up the tab on the rest, according to the Arkansas Democrat-Gazette. The amount the state covered still ended up being $5 million below projections. Spending on the traditional Medicaid program grew 4.3%.
Urticaria Diagnosis Challenged by Overlapping Pruritic Skin Conditions
April 23rd 2025Urticaria is complicated to diagnose by its symptomatic overlap with other skin conditions and the frequent misclassification in literature of distinct pathologies like vasculitic urticaria and bullous pemphigus.
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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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Personalized Care Key as Tirzepatide Use Expands Rapidly
April 15th 2025Using commercial insurance claims data and the US launch of tirzepatide as their dividing point, John Ostrominski, MD, Harvard Medical School, and his team studied trends in the use of both glucose-lowering and weight-lowering medications, comparing outcomes between adults with and without type 2 diabetes.
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ACOs’ Focus on Rooting Out Fraud Aligns With CMS Vision Under Oz
April 23rd 2025Accountable care organizations (ACOs) are increasingly playing the role of data sleuths as they identify and report trends of anomalous billing in hopes of salvaging their shared savings. This mission dovetails with that of CMS, which under the new administration plans to prioritize rooting out fraud, waste, and abuse.
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