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ASTRO Calls for Voluntary Start, Scaling Back Excessive Cuts in CMS' Proposed Radiation Oncology ModelIn a commentary adapted from the organization's official response to CMS' proposal, the author highlights potential challenges that proposed alternative payment model presents for members of the American Society for Radiation Oncology (ASTRO).
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Oncology Nurse Navigators: Putting the Value in Value-Based Payment ModelsOncology nurse navigators provide the “constant” in what seem to be undulating waves of changes to workflows, the adoption of new technology, the near-weekly onslaught of new drugs, and the need to ensure every nuance of documentation is entered in discrete fields in electronic health records so the practice meets reporting requirements.
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Distinct Health Care Use Patterns of Patients With Chronic Gastrointestinal DiseasesPatients with complex chronic disease can be grouped by varying propensity for health care continuity patterns, which could be harnessed to personalize health care utilization interventions.
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Increasing Hepatitis C Screening in a Large Integrated Health System: Science and Policy in ConcertThe success of recommendations to improve screening often rests on the availability of efficacious therapies, coverage policies, and other factors that enable and justify screening.
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Optimizing Number and Timing of Appointment Reminders: A Randomized TrialTwo text message or phone reminders were more effective in reducing missed primary care appointments than a single reminder, particularly in patients at high risk of missing appointments.
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Flunking Asthma? When HEDIS Takes the ACTAsthma control, rather than compliance with the HEDIS asthma measure, is the most useful quality indicator of asthma care.
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Telemetry: Appropriateness of Initial Assignment and Duration in Nonintensive SettingThe authors report overutilization of telemetry monitoring in a community setting, increasing the cost of health care and potential harm to patients with unnecessary interventions.
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Physician-Initiated Payment Reform: A New Path Toward ValuePhysician groups have begun designing alternative payment models for their own specialties, proposing that CMS include financial risk, funding for new technologies, and legal waivers.
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Characteristics of and Trends in the Late-stage Biopharmaceutical PipelineResearch on characteristics of the biopharmaceutical pipeline and on changes since 2003 includes a description of new features and recommendations for health policy decision makers.
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Quality Measurement of Medication Monitoring in the Meaningful Use EraShifting from claims to integrated electronic health records to calculate quality metrics will improve reported quality attributable to data capture changes, not true quality improvements.
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Medical Home Transformation and Breast Cancer ScreeningBreast cancer screening may not improve in early medical home implementation.
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The Evolving Role of Subspecialties in Population Health Management and New Healthcare Delivery ModelsThis article explores the role of subspecialists in new care delivery models and argues compensation should recognize the range of ways subspecialists provide value to populations.
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A Predictive Model of Hospitalization Risk Among Disabled Medicaid EnrolleesPredictive modeling can be used to identify disabled Medicaid beneficiaries at high risk of future hospitalizations who could benefit from appropriate interventions.
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Medicare Coverage of Buprenorphine-Naloxone Film Surrounding Generic EntryMedicare plans are replacing brand-name buprenorphine-naloxone film with its generic equivalents, resulting in a decrease in out-of-pocket cost faced by enrollees with opioid use disorder.
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Employer-Led Efforts to Improve the Value of Health SpendingFindings from a systematic review show that employer-led efforts to date have produced few promising strategies for improving the value of health spending.
