During the introduction to this one-on-one interview series, Arthur Garson, Jr, MD, MPH, director of the Center for Health Policy at the University of Virginia, discusses rates of hospital readmissions following transitions between healthcare settings and highlights a Centers for Medicare & Medicaid Services (CMS) program designed to reduce the number of readmissions.
Dr Garson, Jr, reviews the number of unnecessary hospital readmissions within 30 days of discharge and notes that nearly 20% of Medicare patients are readmitted.
However, he explains that the number of readmissions has recently decreased due to penalties implemented by a CMS program.
Dr Garson, Jr, emphasizes the importance of implementing programs that target readmissions such as the program designed by the CMS, and suggests that this program represents a step in the right direction toward reducing or preventing unnecessary hospital readmissions.
The Supreme Court seems likely to reject a challenge to the abortion pill mifepristone; the FDA is inspecting far fewer pharmaceutical companies conducting clinical research; AstraZeneca has sued to block an Arkansas law that it said would unlawfully expand the 340B program to include for profit-pharmacy chains.
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Exploring Medicare Advantage Prior Authorization Variations
March 26th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the March 2024 issue of The American Journal of Managed Care® about their findings on variations in prior authorization use across Medicare Advantage plans.
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Navigating Health Literacy, Social Determinants, and Discrimination in National Health Plans
February 13th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the February 2024 issue of The American Journal of Managed Care® about their findings on how health plans can screen for health literacy, social determinants of health, and perceived health care discrimination.
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Covered Preventive Services at Risk: V-BID Summit Breaks Down the Braidwood v Becerra Case
March 20th 2024For more than a decade, certain high-value preventive care services have been covered at no cost to patients under the Affordable Care Act, but a current legal challenge has the coverage at risk.
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