Hospital Executives Slow to Adopt ACO Model
Almost half of 206 hospital executives polled in a recent survey said they do not intend to use an accountable care organization (ACO)-like model in their health systems. Only 20% of those polled currently participate in an ACO.
Nearing Deadline for Exchange Enrollment Hopeful to Increase Numbers
Several months ago, Kathleen Sebelius, Health and Human Services (HHS) secretary, was asked what success would look like for the state and federal healthcare exchanges. Her response to NBC News was, “Well, I think success looks like at least 7 million people having signed up by the end of March 2014.” Now, with only an estimated 365,000 having become newly insured through the exchanges to date, some are concerned about meeting enrollment expectations.
Drug Cost Not an Indication of Effectiveness
In the battle to control costs and out-of-pocket expenses for consumers, it would seem logical that doctors would choose the lower-cost drug. However, a report found that when given the choice, doctors chose the more expensive eye medicine over a lower cost option, even when both prescriptions provided the same effective treatment.
Shifting from Volume to Value
The transition from volume- to value-based care seems like common sense, yet, there are conflicting opinions regarding what this transition could mean for emergency care, and what measures will truly change practitioner behavior.
Findings Report 1 in 4 Uninsured Will Opt for Penalty
The individual mandate of the Affordable Care Act was intended to incentivize uninsured Americans into purchasing health insurance on the exchanges. However, latest findings show that the penalty may not be enough.
Ineffective Pain Management Can Be Costly
Reigning in costs is a key component of healthcare reform. So it is clear why it will be essential for both providers and policy makers to identify those most at risk for driving up costs.
Policy Shifts Private Insurance Delivery
Much of the healthcare spotlight has been squarely focused on the federal and state implementation of the Affordable Care Act (ACA). Yet, there is another fundamental shift in policy that is occurring at the private level that will change the way health insurance is offered to consumers.