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.
New Form of US Healthcare Saves Money, Improves Quality, One Insurer Finds
In one of the largest tests of a novel way to deliver and pay for healthcare, insurer CareFirst BlueCross BlueShield announced on Thursday that 1.1 million people receiving care through its "patient-centered medical homes" last year were hospitalized less often and stayed for fewer days compared to patients in traditional fee-for-service care.
Will Health Reform Bring New Role, Respect To Primary Care Physicians?
While much attention has focused on expanded coverage and online insurance bazaars, policymakers’ bigger challenge is improving Americans’ health while putting a brake on the cost of their care. The keys to that puzzle, CareFirst and many others are deciding, are the internists and general practitioners who have largely been left behind by health care’s financial boom.
Aetna Sees Promise in New Heart Disease Diagnostic
With spending on diagnostics alone for cardiovascular disease likely to be a major challenge for insurers amid the baby boom wave, Aetna is turning to an emerging option as part of a strategy to avoid invasive tests and treatments.