Medicare & Medicaid

Articles for Medicare & Medicaid

Despite its clinical success the Diabetes Prevention Program has only reached a fraction of those who need it. That could change once Medicare starts paying for the program next year.
With confusion surrounding the meaning of “savings” with regard to ACO programs, authors writing in Health Affairs outlined 3 different types of savings.
A session at the Academy of Managed Care Pharmacy (AMCP) 2017 Nexus meeting discussed the implications of recent legislative and regulatory changes in healthcare at the federal and state levels.
The authors used Medicare claims data to examine trends in hospital–physician integration in high-volume specialties, including medical oncology.
The findings generated data on 19 specific clinical variables that could help physicians and patients made personalized decisions about diabetes prevention.
Specialized Medicare Advantage plans called chronic condition special needs plans (C-SNPs), may demonstrate greater improvement in outcomes and utilization of care for the beneficiaries when compared to non-SNP Medicare plans, according to a new analysis from Avalere Health.
Scaling behavioral change and reducing diabetes at the population level were major themes of the meeting.
CMS’ decision to exclude digital health from its proposal for the Medicare Diabetes Prevention Program (DPP) has caused a controversy, explained Paul Chew, MD, chief medical officer of Omada Health.
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