Karen Lewis, MS, MM, CGC, Discusses Oncology and Genetic Testing
January 28th 2014Karen Lewis, MS, MM, CGC, says the goals of Healthy People 2020 are developed by looking at a variety of key areas in healthcare, and then choosing the most actionable items to improve the overall health of the general population.
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Peter B. Bach, MD, MAPP, Analyzes the Risks of the ACO and PCMH in the Oncology Practice
January 9th 2014Peter B. Bach, MD, MAPP, director, Center for Health Policy and Outcomes, and attending physician, Memorial Sloan-Kettering Cancer Center, says there are a couple of challenges with the accountable care organization (ACO) and patient centered medical home (PCMH) care models.
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Steven D. Shapiro, MD, Opines on the Benefits and Risks of Hospitals as Health Insurers
January 6th 2014Steven D. Shapiro, MD, executive vice president, chief medical and science officer, University of Pittsburgh Medical Center, says healthcare reform's biggest benefit is that it is leading care from a system that is volume based to one that is value based.
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David B. Hoyt, MD, FACS, Shares How ACS Improves and Inspires Quality
December 18th 2013David B. Hoyt, MD, FACS, executive director, American College of Surgeons (ACS), says their National Surgical Improvement Program is designed to help hospitals evaluate where they stand with certain complications, and to then help them through a series of techniques to improve the care around those complications.
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Chris Belmont Responds to How Big Data Is Improving Adherence and Reducing Admissions
December 12th 2013Chris Belmont, vice president and chief information officer, MD Anderson Cancer Center, says that health systems like Ochsner are using data to validate what they already know about certain patient cases.
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Ora Pescovitz, MD, Discusses New Models of Care, Value-Based Insurance Design
December 4th 2013Ora Pescovitz, MD, CEO of the Michigan Health System, says that academic medical centers like those at the University of Michigan are among those in the lead with patient-centered medical homes (PCMHs) and accountable care organizations (ACOs).
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Marilyn Tavenner Discusses Healthcare Reform and the Role of CMS
November 13th 2013The American Journal of Managed Care recently sat with Marilyn Tavenner, administrator of the Centers for Medicare & Medicaid Services (CMS), as she discussed CMS's role in the new, evolving healthcare landscape. This special AJMCtv interview highlights just some of the initiatives CMS has implemented, as well as some of the challenges that remain for the organization.
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Dr. Margaret K. Pasquale and Team Identify High-Risk Factors Predicting Opioid Abuse
November 8th 2013Margaret K. Pasquale, PhD, principal researcher, Comprehensive Health Insights at Humana, says Humana's predictive model of opioid abuse suggests that there are a few factors that might lend people to be at high risk for opioid abuse
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Patricia Coyle, MD, Discusses Treatment of Multiple Sclerosis
October 29th 2013Patricia Coyle, MD, director, MS Comprehensive Care Center, Stony Brook Neurosciences Institute, professor and vice chair of clinical affairs, Department of Neurology, SUNY at Stony Brook, says that prognostically, the earlier you treat multiple sclerosis the better.
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Katherine Baicker, PhD, Comments on Medicare Advantage Plans
October 22nd 2013Katherine Baicker, PhD, professor of health economics, Department of Health Policy and Management, Harvard School of Public Health, says that Medicare Advantage Plans still hold promise to deliver high-value, better-tailored care to beneficiaries.
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Edmund Pezalla, MD, MPH, Analyzes the Future of Medicare Advantage Plans
October 14th 2013Edmund J. Pezalla, MD, MPH, national medical director, Aetna Pharmacy Management, suggest that the healthcare industry will continue to move in the direction of providing patients incentives to make use of health risk assessment tools and screenings.
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Joesph Antos on the Concerns and Challenges Facing Medicare Reform
October 10th 2013Joseph Antos, the Wilson H. Taylor Scholar in Health Care and Retirement Policy, American Enterprise Institute, says the federal Medicare program not only has a spending problem, but a delivery system problem that the fee-for-service model has not solved.
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Bruce Feinberg Discusses Differences in Managing Oncology in Medicaid and Commercial Populations
October 3rd 2013Bruce Feinberg, DO, vice president and chief medical officer, Cardinal Health Specialty Solutions, says that the populations of Medicaid and commercial patients have historically been different.
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Melanie Bella on How CMS is Working to Increase Access of Quality Services for Dual Eligibles
September 27th 2013Melanie Bella, director, Medicare-Medicaid Coordination Office, Centers for Medicare & Medicaid Services, says the sole focus of the Medicare-Medicaid Coordination Office is to increase coordination and access to services from many fronts.
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Jan Berger, MD, MJ, Discusses the Importance of Medication Adherence
September 19th 2013Jan Berger, MD, MJ, president & CEO, Health Intelligence Partners, and editor-in-chief of The American Journal of Pharmacy Benefits, says that historically medication adherence, when it pertained to PBMs, was really just about selling pills-it was an isolated, siloed issue.
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