What we're reading, November 12, 2015: nationwide ban on smoking in public houses could have a huge economic impact; CMS barrier to sharing patient records on drug and alcohol abuse; an urgent care—ED hybrid model could save unnecessary costs.
Would Public Housing Smoking Ban Improve Population Health?
The Department of Housing and Urban Development has proposed a ban on smoking in public housing homes as well as on common property in these facilities, nationwide. While tenants are already objecting, there could be broader health implications of the rule. A CDC study estimates that such a ruling throughout the nation could save $153 million, $94 million being healthcare savings.
Read more in The New York Times.
CMS Policy on Patient Privacy Is Creating Havoc
New rules from CMS eliminate hospital and physician records on drug or alcohol abuse. Analyzing morbidity and mortality trends is impossible in the absence of this data, especially in some states in New England that have been marred by the heroin epidemic.
Read more in The Incidental Economist.
Urgent/Emergency Care Hybrid Model to Test Health Saving
Centura Health, a healthcare network in Colorado, has developed a new hybrid model aimed to reduce healthcare costs. Four centers within Colorado will provide emergency as well as urgent care services under the same roof, but billing will be based on the actual services rendered. For patients needing services for non-life threatening conditions, urgent care physicians—whose services cost less than emergency care—will be in charge.
Read more in Healthcare Finance.
Trump Administration’s Message to Supreme Court Puts New Wrinkle in Braidwood Case
February 21st 2025The Trump administration argues that HHS Secretary Robert F. Kennedy Jr can overrule the US Preventive Services Task Force to determine the preventive services covered under the Affordable Care Act.
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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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5 Key Health Care Moments During President Trump's First Month Back in Office
February 21st 2025President Donald J. Trump pushed for significant health care changes during his first month back in office, through executive orders affecting managed care, drug pricing, and clinical trial diversity guidance.
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Same-Day Breast Imaging Gaps Reveal Health Care Disparities
February 18th 2025For this retrospective study, the authors examined data on more than 3 million screening mammographies for more than 1 million female patients; of the screenings, 23.6% had abnormal results and only 6.7% were recommended for biopsy.
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