Filtered By:
Management: Medicare

This page shows you your search results in order of date. This is page number 20.

Order by Relevance | Date

Total 795 results found since Jan 2013.

Yes, Mr. President. Health Care is Complicated. And Also Hard.
By ASEEM SHUKLA, MD “Nobody knew that health care could be so complicated,” President Donald Trump told us a few weeks ago.  As the failure of the House Republican  bill shows: Healthcare is hard. The American Healthcare Act failed to clear the House of Representatives despite catering to longstanding conservative demands: rid the ‘individual mandate’ (designed to force able-bodied people to pay insurance so it’s cheaper for sick people), subsidies to individuals, and revamping Medicaid into block grants to states. Even with the claim it could be deficit-neutral, the act failed to win enough moderat...
Source: The Health Care Blog - April 14, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

10 Things Every Alzheimer's Caregiver Needs to Know and Discuss with Their Doctor
TheAmerican Geriatrics Society has published a list of ten things doctors and their patients should consider, know and understand.I think it is important forevery caregiver of a person living with Alzheimer's, or a related dementia, todiscuss these 10 issues with the doctor. Doing this in advance might be one of the most important caregiverdecisions you can make.It might also be a good idea toshare this article in support groups, and bookmark (save) it so you can find it when you need it.What is Alzheimer's Disease?By Carole Larkinhttp://www.alzheimersreadingroom.comI think this is an important list of things that nee...
Source: Alzheimer's Reading Room, The - April 13, 2017 Category: Neurology Authors: rtdemarco at gmail.com Tags: alzheimer care care of dementia patients dementia help for caregivers elderly dementia care geriatrics health help alzheimer's help with dementia help with dementia care life news memory care facility Source Type: blogs

Medicaid Work Requirements: Who ’s At Risk?
While the American Health Care Act (AHCA) has collapsed, adding work requirements to Medicaid continues as a key theme in conservative health reform efforts. Department of Health and Human Services Secretary Tom Price and Centers for Medicare and Medicaid Services (CMS) Administrator Seema Verma sent a letter to state governors offering greater flexibility in approving Medicaid Section 1115 waivers, including those with work-related proposals. Four states, Indiana, Arizona, Kentucky, and Pennsylvania, have submitted waivers to CMS to add work requirements to Medicaid. In his rejection of a Medicaid expansion bill that was ...
Source: Health Affairs Blog - April 12, 2017 Category: Health Management Authors: Leighton Ku and Erin Brantley Tags: Following the ACA Insurance and Coverage Medicaid and CHIP American Health Care Act employment health status medicaid work requirement Section 1115 Waivers Seema Verma tom price work requirements Source Type: blogs

Medicaid Responds To The Opioid Epidemic: Regulating Prescribing And Finding Ways To Expand Treatment Access
Medicaid programs are at the center of the opioid epidemic. Nearly 12 percent of adults covered by Medicaid have a substance use disorder, including opioid use disorder. Available data suggest that Medicaid beneficiaries are prescribed painkillers at higher rates than non-Medicaid patients and have a higher risk of overdose, from both prescription opioids and illegal versions including heroin and fentanyl. In addition to the human toll, abuse of opioids has significant financial effects. In 2010, Arizona Medicaid paid for more than half of all opioid-related emergency department admissions, and in 2012, 81 percent of the $...
Source: Health Affairs Blog - April 11, 2017 Category: Health Management Authors: Amy Bernstein and Nevena Minor Tags: Costs and Spending Medicaid and CHIP Public Health opioid epidemic preferred drug lists prescription drug abuse prescription drug monitoring programs prior authorization requirements Section 1115 Waivers Source Type: blogs

A Strategy For Lowering Brand Drug Prices: Patent Buyouts And Licensing
Why does competition among brand drugs often fail to reduce prices? In this post, I address that question, which is obviously important in structuring efforts to reduce prescription drug costs. Based on the answer, I then propose a mechanism to increase competition among brand drugs and lower prices. Specifically, I advocate the creation of nonprofit entities to purchase the intellectual property rights to any one of several competing brand drugs and license those rights to multiple generic manufacturers. Understanding Prescription Drug Competition In model systems, the profit-maximizing price for a competing monopolist de...
Source: Health Affairs Blog - April 5, 2017 Category: Health Management Authors: Jonathan Silver Tags: Costs and Spending Drugs and Medical Innovation Drugs and Medical Technology drug manufacturers innovation incentives intellectual property prescription drug prices Source Type: blogs

What Now?: A Four Step Plan For Bipartisan Health Reform
As I concluded in my Health Affairs Blog post last Monday, it should be clearer now than ever that new steps to improve our health care system must be pursued on a bipartisan basis. In the past week, several Members of Congress and the President himself have expressed interest in finding consensus solutions to the challenges we face. Democrats, meanwhile, have responded in kind. While it will not be easy, we ought to applaud these gestures and, as health care stakeholders, demonstrate our preparedness to support efforts to improve health care access and reduce costs. With that in mind, I have compiled here a range of sensi...
Source: Health Affairs Blog - April 4, 2017 Category: Health Management Authors: Billy Wynne Tags: Featured Following the ACA Insurance and Coverage Medicaid and CHIP Quality bipartisanship Congress house v. price MACRA section 1333 Source Type: blogs

Overcoming Challenges Of Outcomes-Based Contracting For Pharmaceuticals: Early Lessons From The Genentech – Priority Health Pilot
Conclusion Outcomes-based agreements are a natural extension of a health care delivery-and-reimbursement environment that is moving toward value. With provider organizations taking increasing accountability for both costs and outcomes, it is becoming incumbent upon manufacturers to demonstrate the economic, clinical, and quality-of-life benefits of their medicines. The pilot described here was successful in that Genentech and Priority Health both learned how to overcome clinical, operational, and contractual challenges and demonstrated that this type of agreement is feasible. Genentech and Priority Health believe pilots li...
Source: Health Affairs Blog - April 3, 2017 Category: Health Management Authors: John Fox and Marc Watrous Tags: Costs and Spending Drugs and Medical Innovation Payment Policy Outcomes-based agreements Source Type: blogs

Health Care: What Should a Populist Do Now?
Conclusion The most common response to the suggestion that private contracts could be useful in reforming the health-care system for the benefit of ordinary Americans is the observation that people—ordinary Americans in particular—cannot reasonably be expected to read, let alone understand and compare, the multiple contracts they would confront. This point, however, while valid, is beside the real one, which is to give adequately subsidized consumers meaningful choices with respect to the cost and content of their future health care and enough reliable help in making them that they can be reasonably content with their ...
Source: The Health Care Blog - April 1, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

When Is the Best Time to Start Hospice Care?
Hospice provides compassionate care for people facing a end of life illnesses or injury.Hospices use a team-oriented approach to medical care, and pain management. Hospice care also provides emotional and spiritual support tailored to the needs of both patient and family caregiver.Many people think of hospice care as something provided to people who have terminal cancer or another such illness.Hospice can also be immensely helpful for people living with Alzheimer ’s.Is Hospice Care an After Thought in Dementia Care?By Marie MarleyAlzheimer's Reading RoomHospice care is designed to improvequality of life for the person wi...
Source: Alzheimer's Reading Room, The - March 31, 2017 Category: Neurology Tags: alzheimer's awareness alzheimer's care Alzheimer's Dementia alzheimers hospice dementia hospice end of life care Hospice Care hospice care definition hospice services what does hospice care man Source Type: blogs

After the American Health Care Act
BY JOHN IRVINE We asked THCB’s editors and bloggers for their reactions to Friday’s news. Here are their reactions. DANIEL STONE, MD The late UCLA Professor Richard Brown, once commented that the Clinton healthcare initiative failed because the status quo was everyone’s second choice. Some of that logic applies to today’s failure to vote on the AHCA. Additionally, no one ever lost money betting against the rollback of an established entitlement program. The Republicans opponents of the ACA have not yet faced the fact that the reason coverage is so expensive is because the care is so expensive. You can’t ...
Source: The Health Care Blog - March 26, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized John Irvine Source Type: blogs

Repealed and Misplaced
By KIP SULLIVAN Like Joe, Michael and others, I find myself wondering what, if anything, Trump learned from the demise of the AHCA last Friday. But I’m also wondering what Democrats and other Republicans are thinking. The question I would like to ask all Republicans is: Is it clear to you now that merely saying no to any Democratic proposal to lower the uninsured rate is bad for your party? The question I would like to ask all Democrats who supported the Affordable Care Act is: Is it clear to you now that that the managed care nostrums in the ACA cannot lower costs, and that attempting to lower the uninsured rate wi...
Source: The Health Care Blog - March 26, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized AHCA Freedom Caucus Trump William Kristol Source Type: blogs

Reaching Beyond Delivery System Walls To Improve Colorectal Cancer Screening
Conclusion Screening rates are a product of two factors: offer rates and uptake/completion rates. With our FIT campaign we have made strides in both areas. With tools built into our EHR, we can now identify and offer tests to nearly 100 percent of the eligible population, practically with the touch of a button. At the same time, patient uptake of testing has improved dramatically, despite the fact that FIT screening must be done every year, instead of the five- and ten-year intervals required for sigmoidoscopy and colonoscopy, respectively. We believe the increased uptake is a testament to what happens when we “make the ...
Source: Health Affairs Blog - March 24, 2017 Category: Health Management Authors: Theodore Levin, Joanne Schottinger and Murray Ross Tags: Featured Health Policy Lab Innovations in Care Delivery Organization and Delivery Population Health capitated payment model Colorectal Cancer Screening electronic health record fecal immunochemical test Healthcare Effectiveness Data and Source Type: blogs

Op-Ed in The Hill on Allowing Medicare to Directly Negotiate Drug Prices
Conclusion There is no denying that Medicare and other government-funded programs are facing a serious funding crisis and that changes to the programs are long overdue. However, it is important to review history and not make the same mistakes that have already been made in attempting to resolve the issue. Instead, Dr. Fonseca believes that “Medicare beneficiaries should have more freedom to choose the coverage and services that best meet their individual needs and preferences.”       Related StoriesCMS Releases Report on Drug RebatesMedPAC Considers Revised Approaches to Part B Drug P...
Source: Policy and Medicine - March 16, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

CMS Will Soon Unleash a New Appropriate Use Mandate
Cardiac imaging is in need of some wrangling. Professional medical associations and universities across the U.S. have developed appropriate use criteria (AUC) for physicians when determining if a patient should go through cardiac testing. However, a group of physicians believe that the AUC “is no longer an idealistic exercise” and a Centers for Medicare& Medicaid Services (CMS)-approved technique will soon be required when evaluating a patient ’s need for imaging procedures.AUC encourages physicians to utilize evidence or expert opinion when deciding if a patient should receive testing while using a three-fold ru...
Source: radRounds - March 15, 2017 Category: Radiology Authors: Julie Morse Source Type: blogs

The American Health Care Act And Medicaid: Changing A Half-Century Federal-State Partnership
Based on page length alone, it is evident that Medicaid is a focal point of the American Health Care Act, released on March 6. Although its fate is uncertain, the bill provides a clear sense of where the Affordable Care Act repeal and replace strategy is heading. Where Medicaid is concerned, what has been discussed for years has now become real: using ACA repeal/replace as the vehicle for a wholesale restructuring of the very financial foundation of the Medicaid program as it has existed over an unparalleled, half-century federal/state partnership. As expected, the House bill essentially eliminates the enhanced funding lev...
Source: Health Affairs Blog - March 10, 2017 Category: Health Management Authors: Sara Rosenbaum Tags: Featured Medicaid and CHIP ACA repeal and replace Planned Parenthood Source Type: blogs