Dilemma Over Deductibles: Costs Crippling Middle Class
The size of the average deductible more than doubled in 8 years, from $584 to $1217 for individual coverage. Add to this co-pays, co-insurance and the price of drugs or procedures not covered by plans — and it's all too much for many Americans.
Assessing Patient-Centered Care Abilities of Physicians
Researchers at the University of Missouri School of Medicine have developed a tool to test how well a doctor delivers patient-centered care by assessing whether medical students have learned and are applying the correct behaviors.
The Year in Review: Most-Read Stories of 2014
With 2014 coming to a close, The American Journal of Managed Care
is taking a look back at the most popular articles from this year. These most-read articles highlight the healthcare issues most important to providers, insurers, and policy makers.
Accenture Wins Renewed Contract to Continue Work on HealthCare.gov
After website glitches stole the spotlight during the first open enrollment period for the Affordable Care Act, CMS hired Accenture to fix HealthCare.gov. Now, the consulting firm has been awarded a 5-year, $563 million contract to continue working on the website.
Health IT-Related Adverse Event Reporting Needs Improvement
Improved and standardized reporting across healthcare organizations is needed to better understand the impact of health information technology (IT) on adverse events, according to a report from the Office of the National Coordinator for Health IT.
AJAC Features Matt Salo on Medicaid After the Midterms
Matt Salo, executive director of the National Association of Medicaid Directors, is emerging as one of the most important observers in how the expansion of the leading healthcare program for poor Americans is unfolding across the country. In December’s issue of The American Journal of Accountable Care
, he addresses how the fallout of the 2014 midterms will affect Medicaid in the near term.
Authors Discuss How to Pay for Telehealth in Managed Care in AJMC Publications
The main barrier to widespread use of telehealth isn’t technology or consumer acceptance; it’s figuring out how to pay for it. Authors writing for The American Journal of Managed Care
and The American Journal of Accountable Care
discuss why today’s payment models for accountable care organizations are a better fit for telehealth, and why regulatory changes make sense.
Reimagining Quality Measurement
The quality-measurement enterprise in US healthcare is troubled. Measure developers are creating ever more measures, and payers are requiring their use in more settings and tying larger financial rewards or penalties to performance.
States Focus on "Super-Utilizers" to Reduce Medicaid Costs
Using a provision of the Affordable Care Act, many state Medicaid agencies are trying to diminish use of medical services by super-utilizers by better managing their care. The goal is to not only reduce costs, but to achieve better health outcomes for these patients.
Gardasil 9 Approved for 5 Additional HPV Types
With this approval, the vaccine can effectively protect against 5 additional types of HPV than the parent Gardasil vaccine, thereby preventing the development of cervical, vulvar and vaginal cancers, based on a randomized clinical trial.