Filtered By:
Management: Medicaid

This page shows you your search results in order of date. This is page number 14.

Order by Relevance | Date

Total 545 results found since Jan 2013.

Gaming the System
By NIRAN Al-AGBA, MD As physicians ready themselves for the future of medicine under onerous MACRA regulations, it seems appropriate to glance into the future and visualize the medical utopia anticipated by so many.  Value-based care, determined by statistical analysis, is going to replace fee for service.    Six months ago, I received my first set of statistics from a state Medicaid plan and was told my ER utilization numbers were on the higher end compared to most practices in the region.  This was perplexing as my patients tend to avoid ER visits at all costs and can be found milling about in my parking lot at 7am o...
Source: The Health Care Blog - February 11, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Tucked Away In The Cures Act, A Better Option For Addressing Readmission Penalties For Safety-Net Providers
Along with accelerating the Food and Drug Administration (FDA) approval processes, funding the Cancer Moonshot, and strengthening mental health and substance abuse treatment programs, the wide-ranging 21st Century Cures Act, signed into law on December 13, 2016, also directs the Secretary of Health and Human Services (HHS) to change the way pay-for-performance penalties are applied to safety-net hospitals. This is a move in the right direction. The Hospital Readmissions Reduction Program (HRRP), authorized by the Affordable Care Act, aims to improve care and outcomes for patients by assessing hospitals’ risk-standardize...
Source: Health Affairs Blog - February 7, 2017 Category: Health Management Authors: Susannah Bernheim and Karen Dorsey Tags: Costs and Spending Health Equity Hospitals Payment Policy Quality Hospital Readmissions Reduction Program safety-net providers Source Type: blogs

How Shared Decision Making In The Emergency Department Can Improve Value
More than 8 million U.S. emergency departments (ED) visits are from patients with chest pain, which is the second most common reason to visit an ED. Standard protocol is to screen patients presenting with chest pain for acute coronary syndrome (ACS) — in other words, to determine if they are having a heart attack. If the patient is having a heart attack, he or she is admitted to the hospital for further observation and testing. But the initial tests used to determine whether a patient is having a heart attack when they come to the ED miss 1.5 percent of patients with ACS. Because of this uncertainty, clinicians often...
Source: Health Affairs Blog - February 7, 2017 Category: Health Management Authors: Edward Melnick and Erik Hess Tags: Costs and Spending Hospitals Innovations in Care Delivery Organization and Delivery Quality Chest Pain Choice Emergency departments Emergency Medicine Health Care Delivery Shared-Decision Making value based care value-based Source Type: blogs

Health Affairs ’ February Issue: The Work/Health Relationship
The February issue of Health Affairs contains a collection of papers about the complex work/health relationship. Work conditions can affect employees’ physical and mental health, and worker productivity can be affected by the demands employees face after returning home from the office. The issue is supported by the Integrated Benefits Institute, Sedgwick, and UnitedHealth Group, as well as Pfizer and Pinnacol Assurance. Check out Health Affairs’ newest web hub: Obamacare to Trumpcare. Key health policy questions are explored for the Affordable Care Act (ACA), Medicare, Medicaid, and payment reform. Will low-income mino...
Source: Health Affairs Blog - February 6, 2017 Category: Health Management Authors: Health Affairs Tags: Elsewhere@ Health Affairs Featured Health Affairs journal work and health Source Type: blogs

The Inconvenient Truth about the Military and Veterans Health Systems? They ’ re Working Just Fine.
 By PAUL KECKLEY Lieutenant colonel Justin Constantine USMC Through the years, I’ve had the honor of speaking to groups after they heard from notables like Michael J. Fox, Sammy Hagar, Jeff Immelt, U.S. Secretaries of Health Tommy Thompson and Mike Leavitt, Warren Buffet and others. They’re the headliners and I usually follow them with a less celebrated presentation about the current issues and future in healthcare.  Earlier this month, in Arizona, I spoke to 3M’s annual healthcare conference following Lt. Colonel Justin Constantine, a Marine who served from 1997-2013. Justin’s story is profound: he was plying hi...
Source: The Health Care Blog - February 5, 2017 Category: Consumer Health News Authors: John Irvine Tags: OP-ED Uncategorized Source Type: blogs

Dear Mr. President: Here ’ s the Inconvenient Truth about the Military and Veterans Health Systems
 By PAUL KECKLEY Lieutenant colonel Justin Constantine USMC Through the years, I’ve had the honor of speaking to groups after they heard from notables like Michael J. Fox, Sammy Hagar, Jeff Immelt, U.S. Secretaries of Health Tommy Thompson and Mike Leavitt, Warren Buffet and others. They’re the headliners and I usually follow them with a less celebrated presentation about the current issues and future in healthcare.  Earlier this month, in Arizona, I spoke to 3M’s annual healthcare conference following Lt. Colonel Justin Constantine, a Marine who served from 1997-2013. Justin’s story is profound: he was plying hi...
Source: The Health Care Blog - February 5, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Health Affairs Briefing: The Work/Health Relationship
The February 2017 issue of Health Affairs will shine an important spotlight on the complex and constantly evolving relationship between work and health, from the perspective of both employers and employees. To draw attention to the issue, Health Affairs will host a briefing featuring authors from the journal who will present their studies and discuss strategies for building the safest, healthiest, and most productive workforce possible. WHEN Tuesday, February 7, 2017 9:00 a.m. – 12:30 p.m. WHERE National Press Club Washington, DC Register Today! Follow Live Tweets from the briefing @Health_Affairs, and join in the conver...
Source: Health Affairs Blog - January 31, 2017 Category: Health Management Authors: Health Affairs Tags: Elsewhere@ Health Affairs events Source Type: blogs

How States Can Expand Access To Palliative Care
Conclusion The policies discussed in this Blog post are intended to serve as a framework for policymakers and other stakeholders interested in doing more to support palliative care in their states. Here are a few considerations for those interested in exploring potential options: None of the policies and initiatives described above would have been possible without efforts from key stakeholders such as the state hospice and palliative care associations, and local funders, researchers, and advocates. Champions such as Colorado’s Center for Improving Value in Health Care (CIVHC), the Coalition for Compassionate Care of Cal...
Source: Health Affairs Blog - January 30, 2017 Category: Health Management Authors: Stacie Sinclair and Diane Meier Tags: End of Life & Serious Illness Long-term Services and Supports Medicaid and CHIP Payment Policy Quality California End-of-Life Care Palliative Care States Source Type: blogs

Can Community Health Centers Fill The Health Care Void Left By Defunding Planned Parenthood?
House Speaker Paul Ryan has stated that the House bill to repeal the Affordable Care Act (ACA), like its 2016 Congressional predecessor vetoed by President Obama, will include a provision that excludes certain providers that furnish abortions (other than those permitted under the Hyde Amendment) from the Medicaid program. Not only would such providers be excluded for family planning services; their exclusion would extend to the full range of Medicaid-covered services furnished in primary and preventive settings, such as breast and cervical cancer screening, mammograms, diagnosis and treatment of sexually transmitted diseas...
Source: Health Affairs Blog - January 27, 2017 Category: Health Management Authors: Sara Rosenbaum Tags: Costs and Spending Featured Organization and Delivery Population Health Quality Community Health Centers Congress Paul Ryan Planned Parenthood Primary Care Republicans Women's Health Source Type: blogs

Resist the Evil Fiction That Is Health Insurance
By MARGALIT GUR-ARIE It has come to pass. President Donald J. Trump. Are you scared? Are you planning to “resist” the policies you imagine President Trump will pursue by tweeting furiously with clever hashtags galore? Would you prefer to move my fastidious quotation marks from “resist” to “President”? This is after all, the first President in a very long time to take office without the blessings and financial support of established “world order” leaders. It must be rather disconcerting to proceed without clear guidance from our betters, especially seeing how well they served us over the last decades, and pa...
Source: The Health Care Blog - January 22, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Interim FDA Commissioner Announced
Dr. Robert Califf’s tenure as commissioner of the United States Food and Drug Administration (FDA) is slated to come to an end ahead of the January 20th inauguration of Donald Trump as president. Deputy commissioner Dr. Stephen Ostroff is expected to take over on an interim basis after the inauguration. Ostroff has previously been acting commissioner – from April 2015 to February 2016 he served as acting commissioner. Once Califf was sworn in, Ostroff became the FDA’s deputy commissioner for foods and veterinary medicine. Califf Permanent Replacement Scott Gottlieb The leading candidate to replace Califf is said t...
Source: Policy and Medicine - January 18, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Fighting the injustice of health disparities: Honoring the legacies of Dr. Martin Luther King Jr. & Dr. John M. Eisenberg
For the past several years I have run this post and just as it was those years, it is this year a very important message. We, as a nation, have made progress and I believe Dr. King would be proud. But our work is far from complete – particularly where health care is concerned. Another doctor, Dr. John M. Eisenberg, a physician of tremendous stature whose life was also tragically cut short (not by an assassin’s bullet but by brain cancer) was equally passionate about the dignity of life and justice for all Americans. Dr. Eisenberg, who among other things, served as the Director of the Agency for Health Care Policy and R...
Source: Disruptive Women in Health Care - January 16, 2017 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Advocacy Choice Source Type: blogs

Health Affairs ’ January Issue
This study is believed to be the first population-level analysis of prostate cancer treatment rates in recent years, a time that witnessed changes to both prostate-specific antigen (PSA) screening guidelines and treatment protocols. Also of interest in the January issue: For Many Served By The Ryan White HIV/AIDS Program, Disparities In Viral Suppression Decreased, 2010-14; Rupali Doshi of the George Washington University and the District of Columbia Department of Health, and coauthors. Global health: Brazil’s primary health care expansion The role of governance in improving health is widely recognized as necessary, bu...
Source: Health Affairs Blog - January 9, 2017 Category: Health Management Authors: Lucy Larner Tags: Elsewhere@ Health Affairs Featured Health Affairs journal Source Type: blogs

Analysis Shows Health Care Cost Predictions Grossly Incorrect
This study, once again disproves the misleading claims that pharmacy benefit managers and insurers (among others) make about spending on new innovative medicines. The report found that predictions of health care costs made prior to the introduction of new medicines were often dramatically overstated. The study points to the example of new cholesterol-lowering medicines, also known as PCSK9 inhibitors. The Institute for Clinical and Economic Review (ICER) predicted that the one-year cost of the two PCSK9 inhibitors would be $7.2 billion. However, in reality, based on reported sales, the actual cost will be approximately $8...
Source: Policy and Medicine - January 5, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

The Best-Laid Plans For Health Care
Editor’s note: These issues and more will be discussed at the 5th Annual Health Law Year in P/Review conference, to be held on January 23, 2017, at Harvard Law School in Cambridge, MA. The event is free and open to the public, but registration is required. Conference presenters will participate in a blog series to follow here on Health Affairs Blog. Stay tuned. In the meantime, you can check out last year’s Health Law Year in P/Review blog series here. “The best-laid plans of mice and men often go awry.” This phrase, adapted from the 1785 Robert Burns Poem “To a Mouse” and made as the source of the title o...
Source: Health Affairs Blog - January 5, 2017 Category: Health Management Authors: I. Glenn Cohen Tags: Drugs and Medical Technology Following the ACA Health Policy Lab Organization and Delivery Payment Policy Public Health 21st Century Cures Act Supreme Court The Health Law Year in P/Review Source Type: blogs