Why Are Payers Concerned with Patient Engagement Strategies?
While healthcare organizations and providers are addressing strategies for engaging patient populations in the pursuit of incentive or value-based reimbursements, payers are actively looking for ways to engage this same population as consumers in the name of healthcare reform.
In ACO Era, Physicians Will Still Play a Leading—But Changing—Role
More than 8 million Americans have signed up for health insurance thanks to the Patient Protection and Affordable Care Act. Significantly increasing access to care, the 4-year-old healthcare reform law also creates incentives for providers to reorganize the delivery of healthcare.
Kentucky Law Grants Prescribing Authority to Nurses
A new Kentucky state law that expands prescribing authority for advanced practice registered nurses took effect Tuesday, the same day that a study was published touting the benefits of having nurses manage care for patients with chronic conditions such as diabetes and high blood pressure.
ACO Coalition Web Session: Despite Need, Challenges Confront Value-Based Healthcare
The ACO and Emerging Healthcare Delivery Coalition, an initiative of The American Journal of Managed Care, hosted a recent Web-based session that featured three presentations on aspects of the transition to value-based care: why barriers to change persist, what steps one ACO is taking to drive better health, and why a “patient-centered” method of picking a doctor makes sense.
Narrow Provider Networks Set to Spread
As the healthcare industry focuses on cutting costs, narrow provider networks designed to deliver value are taking hold as a widespread business practice.
Doctors' Employment Contracts Due For Renewal—and Revamp
Physician employment contracts with hospitals that were signed in the early days of healthcare reform are coming up for renewal Experts say the expectation of payment reform requires that these new deals include the flexibility to adapt to expected and unforseeable changes.
Hospitals, Regulators Spar Over In-Patient Care Policy
Fewer patients linger for days in hospitals without being admitted because of a new federal rule, but hospital and consumer groups are suing the government because they say the policy compromises Medicare patients' care, and patients are often stuck with costly, unexpected bills.
Better Rules Needed to Boost Use of Big Data
It's easy to get swept up in the swelling enthusiasm for using the explosion in electronic health and claims records to improve every aspect of healthcare. But the era of “big data” isn't going to happen without better federal rules for stimulating its uses and preventing abuses.
House GOP Moves Ahead on Suing Obama
House Republicans took the initial step on Thursday to sue President Barack Obama over the administration's decision to delay the employer mandate of the healthcare law.
Koh Departing Obama Administration
Dr. Howard Koh is stepping down as assistant secretary for health at HHS after five years in the post. Koh's primary focus was disease prevention, including oversight of the Office of the Surgeon General.