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February 1, 2019 | American Medical Association
A new oncology alternative payment model (APM) uses treatment and diagnostic pathways embedded in a practice’s electronic heath record (EHR) to manage a “tsunami of data.” It also seeks to go further than providing effective treatment...
February 1, 2019 | Washington Post
Sandeep "Sonny" Bains pulled up to Lyons Family Medicine in the pre-dawn dark armed with coffee, doughnuts and glossy brochures about paint treatments.
"What can I help you with for acute pain?" he inquired of father-and-son primary-care...
February 1, 2019 | Kaiser Health News
David Lerman, a Berkeley, Calif., lawyer, changed health plans this year only to learn that his new insurer has no contract with the dominant medical provider in his community.
Anthem Blue Cross of California, one of the state’s largest...
January 31, 2019 | Wall Street Journal
Anthem Inc. will accelerate the launch of its in-house pharmacy-benefit manager IngenioRx to March, a move that sharply pushed up the big insurer’s projected earnings for 2019.
Anthem said that the earlier transition comes because of...
January 31, 2019 | Health Affairs Blog
Improvement in the quality of care delivered to patients and consumers across the healthcare system is a crucial strategic priority for the Centers for Medicare and Medicaid Services (CMS). Patient safety is a key focus, as the Agency...
January 31, 2019 | New York Times
WASHINGTON — The Trump administration proposed on Thursday to require health insurance companies and middlemen to give consumers the benefit of discounts they get on prescription drugs, a huge change that could substantially lower some...
January 31, 2019 | Senior Housing News
Seniors are going to receive primary care. In 2019, the question is where.
Primary care is critical for any person’s health. Yet across the nation, visits to those physicians are declining for Americans of all ages. Seniors specifically...
January 31, 2019 | Psychiatric Times
Although psychiatrists may be better trained to treat suicidal patients, most patients with suicidal ideation are receiving care outside of specialty psychiatric settings and can benefit from interventions in primary care. Many individuals...
January 30, 2019 | Modern Healthcare
HHS is ramping up its work to overhaul Stark Law and anti-kickback regulations in what HHS Deputy Secretary Eric Hargan characterized as a "sprint" to reform rules as part of the shift toward paying for value.The department hopes to have a...
January 30, 2019 | New York Times
The vaccine that prevents rotavirus, which can cause severe gastric problems in children, may have another benefit: lowering the risk for Type 1 diabetes in toddlers.
Rotavirus can leave children badly dehydrated and is sometimes fatal....
January 30, 2019 | Patient Engagement HIT
Nurse practitioners are making their mark on patient care access as more NPs flood the healthcare jobs market, according to the 2018 National Nurse Practitioner Sample Survey from the American Association of Nurse Practitioners.
The...
January 30, 2019 | The Milbank Memorial Fund
As a former pediatrician in rural Vermont and a career-long believer in the centrality of primary care, I have been frustrated and dismayed to witness the lack of definitive evidence demonstrating what is considered to be conventional...
January 29, 2019 | Modern Healthcare
CMS Administrator Seema Verma on Tuesday said the agency is exploring ways to apply its value-based payment models beyond Medicare and encourage more providers to buy in to the programs.
Currently, only 14% of Medicare providers...
January 29, 2019 | Fierce Healthcare
Real-world evidence can be a driving force behind value-based payments, but the healthcare system has a ways to go before that is a reality, experts said.
Mark McClellan, former commissioner of the Food and Drug Administration and former...
January 29, 2019 | FierceHealthPayer
CMS’ innovation center has unveiled several new payment models in recent months, but none has sparked quite the reaction of one of the center’s latest models for drugs, the International Pricing Index.
Medicare beneficiaries may not...
January 28, 2019 | JAMA Network
Question How do the quality and experience of outpatient care differ between adults with or without an endorsed source of primary care?
Findings In this nationally representative survey study of 49 286 adults with and 21 133 adults...
January 28, 2019 | Health Affairs Blog
Pharmaceutical companies want to sell pharmaceuticals. Insurers want to keep per-member-per-month costs below monthly member premiums. Providers want to see their patients get access to care. Patients want to feel better and live longer...
January 28, 2019 | USA Today
Recent revelations about how social media giants misuse our personal data for profit have elevated the issue of privacy among Americans, but what if this data also included our personal health records? Every day, millions of Americans use...
January 24, 2019 | Fierce Healthcare
What makes a good doctor? Just ask their patients.
Based on a new survey, it becomes clear that good communication with their physicians, as well as with other clinicians, is key to a positive patient experience.
That’s a big lesson from...
January 24, 2019 | Health Affairs Blog
In the current issue of Health Affairs, David Wamble and colleagues published a new study - What’s Been The Bang For The Buck? Cost-Effectiveness Of Health Care Spending Across Selected Conditions In The US. In it, they examined disease-...
