Mark McClellan, MD, PhD, Talks about Healthcare Delivery Models
December 19th 2012Mark McClellan, MD, PhD, director, Engelberg Center for Health Care Reform, Leonard D. Schaeffer Chair in Health Policy Studies, Brookings Institution, says that getting the best possible benefits of the healthcare system at the lowest cost is what really matters to patients.
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Robert Galvin, MD, Speaks About the Patient-Centered Medical Home Model
December 14th 2012Robert Galvin, MD, CEO, Equity Healthcare, The BlackStone Group, says that as a primary care physician he has a bias that the patient-centered medical home is a great model, but it is very difficult to implement.
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Gail Wilensky, PhD, Discusses Trends in the Health Insurance Marketplace
December 10th 2012Gail Wilensky, PhD, senior fellow, Project Hope, says that larger payers are introducing plans that reward consumers for choosing high-quality healthcare clinicians with lower co-payments and premiums. Dr Wilensky also says that there are many attempts to slow spending and improve quality.
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Jacque Sokolov, MD, Discusses Clinically Integrated Organizations
November 26th 2012Jacque Sokolov, MD, President, CEO, SSB Solutions, says that in order for clinically integrated organizations to drive revenue the clinical and business models must be coordinated, so incentives exist for revenue enhancement and expense control.
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Karen Ignagni, President and CEO, AHIP, Discusses Value-Based Payment Models
November 2nd 2012Karen Ignagni, President and Chief Executive Officer, AHIP, says that we need to move from paying hospitals and clinicians based on volume to the value of services provided. In this video, Ms. Ignagni addresses the need to change the way payment is designed and delivered.
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Brian Carlin, MD, FCCP, Discusses Challenges in Reducing Readmission Rates
October 31st 2012Brian Carlin, MD, FCCP, Allegheny General Hospital, discusses the challenges in reducing 30-day readmission rates, specifically as they apply to congestive heart failure, pneumonia, and COPD. The biggest challenge of all is setting up a coordinated team care effort, says Dr Carlin.
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Mark Zitter, MBA, Discusses Implications of Co-Pay Offset Programs for Managed Care
October 18th 2012In this video, Mark Zitter, MBA, talks about the implications of Co-Pay Offset Programs for managed care. "Co-pay programs affect managed care very differently depending on the nature of the program," says Zitter. "These programs are tremendously varied."
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Barbara Troupin, MD, MBA, Talks about Managing Goals for Obesity Treatment
October 16th 2012In this video, Barbara Troupin, MD, MBA, talks about managing goals for obesity treatment. "The goal for obesity treatment is the ability to lose enough weight [to the point where] you actually are addressing the underlying pathophysiology," says Dr Troupin. She goes on to discuss the ideal percentage of weight loss necessary to lose excess adipose tissue.
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Aimee Tharaldson, PharmD, Identifies Trends in the Specialty Pharmacy Market
October 11th 2012In this video, Aimee Tharaldson, PharmD, discusses some of the current trends in the specialty pharmacy market. In addition, Dr. Tharaldson specifically comments on the oncology pipeline, which currently has the most activity.
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Robert Berenson, MD, FACP, Discusses How to Better Inform Providers on Quality Measures
September 25th 2012Robert Berenson, MD, FACP, Institue Fellow, Health Policy Center, Urban Institute, states that the development of new care delivery models will not happen overnight. There is time before expectations are put into specific quality metrics and regulations for models such as patient-centered medical homes and accountable care organizations.
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Sara Rosenbaum, JD, Answers What Would Happen if States Opt Out of Medicaid Expansion
September 25th 2012Sara Rosenbaum, JD, Harold and Jane Hirsh Professor of Health Law and Policy and Founding Chair, Department of Health Policy, George Washington University School of Public Health and Health Services, says that the purpose of health reform was to provide people a source of affordable coverage so everyone would be attached to a payment system.
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Peter Cunningham, PhD, Discusses the Challenges Primary Care Delivery Systems Face
September 25th 2012Peter Cunningham, PhD, Senior Fellow and Director of Quantitative Research, Center for Studying Health System Change, says that the expansion of people gaining coverage will be a big challenge for primary care delivery systems.
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Juliette Cubanski, PhD, Addresses Challenges Medicare Will Face Moving Forward
September 13th 2012Juliette Cubanski, PhD, Associate Director, Program on Medicare Policy, Kaiser Family Foundation, believes that the Medicare program overall has as much at stake in the 2012 election. Specifically, Dr. Cubanski says increasing private plan participation in Medicare and whether Medicare should move towards privatization will be some of the greatest challenges moving forward.
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Karen Ignagni, President and CEO, AHIP, Discusses Medicare's Hospital Readmission Penalties
September 13th 2012Karen Ignagni, President and Chief Executive Officer, AHIP, feels Medicare is right to take on the challenge of hospital readmissions. Ms. Ignagni also discusses how the Medicare Advantage plans have done a better job with traditional fee-for-services programs and tackling high hospital readmission rates.
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Robert Berenson, MD, FACP, Discusses the Need for New Healthcare Delivery Models
September 13th 2012Robert Berenson, MD, FACP, Institute Fellow, Health Policy Center, Urban Institute, thinks that new healthcare delivery models are inevitable due to the behavior of physicians and providers who have abused fee-for-service. Dr. Berenson says that there has been unacceptable growth in the bias of fee-for-service activities, and new delivery models are necessary to improve quality and costs in healthcare.
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Debbie Stern, RPh, Talks About the Management of Infused Specialty Pharmaceuticals
August 2nd 2012Debbie Stern, RPh, Vice President, Rxperts Inc, states that the utilization of prior authorizations, developing pathways, and relationships with specialty pharmacies all assist in the management of specialty pharmaceuticals.
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David Nau, PhD, RPh, CPHQ, Discusses Adherence Improvement with the E-QuIPP Initiative
July 26th 2012In this video, David Nau, PhD, RPh, CPHQ, Senior Director, Quality Strategies, Pharmacy Quality Alliance (PQA), speaks about the Electronic Quality Improvement Platform for Plans and Pharmacies (E-QuIPP). E-QuIPP will allow health plans and pharmacies to improve adherence and performance measurement.
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Beckie Fenrick, PharmD, MBA, Addresses Trends in Specialty Pharmacy Management
July 24th 2012Beckie Fenrick, PharmD, MDA, Senior Director, Medical Operations, Care Models and Affordability Solutions, Florida Blue, says that the trending increase in companion diagnostics allows for more personalized medicine.
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Sarah Thomas Speaks about Objectives of the NCQA
July 12th 2012Sarah Thomas, Vice President, Public Policy and Communications, NCQA, says that this year the NCQA has a targeted interest in health insurance exchanges and delivery system reforms, such as accountable care organizations and patient-centered medical homes.
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