Dr Patricia Salber Discusses the Growing Unaffordability of Drug Prices
August 30th 2016While the implementation of the ACA helped to manage healthcare costs in the beginning, Patricia Salber, MD, MBA, of The Doctor Weighs In, said that there are just certain factors that will always make dealing with growing costs very difficult.
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Mike Payne Discusses Bringing Omada's Diabetes Prevention Program to Underserved Patients
August 29th 2016Not only are patients with prediabetes benefiting from Omada Health’s Prevent program, Omada benefits as well by learning from the enrolled patients about how to better serve the Medicaid population, Mike Payne, MBA, MSci, chief healthcare development officer at Omada Health.
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Rocco Perla Explains the Importance of Patient-Centered Reform Conversations
August 28th 2016Rocco Perla, president of Health Leads, explained that not only do stakeholders in the health system need to come together, but that the conversation also must be patient-centered to truly make headway in care reform.
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Dr Albert Tzeel on Technology's Role in Improving Collaborative Care
August 25th 2016Digital technology has great potential to improve the communication between providers and members, said Albert Tzeel, MD, MHSA, FAAPL, regional medical director of senior products at Humana. However, there are also drawbacks that come alongside digital technology that Dr Tzeel said is worth considering.
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Dr Don Berwick Discusses AF4Q and the 2016 Presidential Election
August 24th 2016Getting people to change their mentality when it comes to their health is a very difficult prospect, but one that researchers attempted to tackle as part of the Aligning Forces for Quality (AF4Q), explained Donald M. Berwick, MD, MPP, president emeritus and senior fellow of the Institute for Healthcare Improvement. Berwick served as the special guest editor for the supplement publishing results of the AF4Q initiative.
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Karin VanZant Suggests Looking at the US Health System from a Macro Perspective
August 24th 2016Karin VanZant, executive director of Life Services at CareSource, explained that 1 issue in trying to improve the US healthcare system overall is that stakeholders are not taking a macro perspective approach. She said that what individuals and industry stakeholders should be focusing on is overall American well being, which includes aspects like housing and food access.
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Dr Lonny Reisman on the Complexities of Improving Medication Adherence
August 23rd 2016Medication adherence is a complex issue, and Lonny Reisman, MD, CEO of HealthReveal, emphasized the importance of better understanding what methods or strategies will help motivate patients to do what is in their best interest.
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Dr Joe Antos on the Changing Dynamics of ACOs in the Future
August 22nd 2016While Joe Antos, PhD, the Wilson H. Taylor Scholar in Health Care and Retirement Policy at the American Enterprise Institute, believes that the ACO model is here to stay, he said that the way these organizations operate are likely to change.
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Dr Alan Balch Describes Ways to Personalize Clinical Pathways
August 21st 2016Pathways have a unique ability to bring a personalized experience to the patient if the provider and care team can access the evidence they need to do so, said Alan Balch, PhD, CEO of the Patient Advocate Foundation. Therefore, the subgroups of larger patient populations must be considered closely when constructing those pathways.
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Dr Andrew L. Pecora on Remaining Barriers for EHRs
August 19th 2016Healthcare is moving toward integrating data systems and eliminating silos but economics and logistics remain barriers to electronic health records, according to Andrew L. Pecora, MD, FACP, CPE, chief innovation officer professor and vice president of cancer services at the John Theurer Cancer Center.
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Dr Michael Kolodziej on New Immuno-Oncology Agents And Payment Plans
August 18th 2016The key in making coverage decisions about the integration of immuno-oncology agents into payment plans is being able to identify the patients who are most likely to benefit while also considering the long-term need for the acceptance of innovation in cancer care when faced with economic constraints, said Michael Kolodziej, MD, national medical director for oncology strategy at Aetna.
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Stephen Rosenthal on the Hospital's Responsibility to the Community
August 17th 2016A hospital’s service does not end when the patient is discharged, as Stephen Rosenthal, senior vice president of population health management at the Montefiore Health System, believes that it’s important to consider the hospital as a part of the greater community it serves in. Various hospital programs are helping patients transition from the hospital to their home by means of offering patients different housing options following their hospital stay.
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Stephen Nuckolls Discusses the Evolution of Coastal Carolina Quality Care's ACO Model
August 16th 2016Stephen Nuckolls, CEO of Coastal Carolina Quality Care, explained during his presentation at the National Association of Accountable Care Organizations Spring 2016 Conference that the more physicians read and learn about value-based care, the more they are accepting the change. He added that as the idea has become more accepted, ACOs are beginning to evolve as well.
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Karen Ignagni Describes How to Manage Rising Drug Costs
August 15th 2016Encouraging the use of generics is only one of the ways to manage the rising costs of medications, according to Karen Ignagni, president and CEO of EmblemHealth. Data and system transparency will also help both the patients and the payers better understand this growing trend.
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Jennifer Sullivan Explains the Importance of Continued Consumer Outreach
August 14th 2016The work of consumer outreach and enrollment is never done, as Jennifer Sullivan, director of the Best Practices Institute at Enroll America, said that it’s important to partner with community leaders to continue engaging consumers well into the future.
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Dr Joe Antos Explains Challenges of Alternative Payment Models
August 12th 2016The future of Accountable Care Organizations is very much undefined, as an ACO right now isn’t working to its full potential. However, Joe Antos, PhD, the Wilson H. Taylor Scholar in Health Care and Retirement Policy at the American, is positive that the healthcare system will get there in the coming years.
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Dr Kelly Clark on Physician Limitations to Opioid Addiction Treatment
August 11th 2016While there is no limit on the number of patients a physician can prescribe buprenorphine when sought for pain, physicians face governmental limitations on prescribing this medication to patients who need it as treatment for opioid addiction, said Kelly J. Clark, MD, MBA, president elect of the American Society of Addiction Medicine. These restrictions have in turn created several patient access roadblocks to the needed medication.
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Marilyn Tavenner on the Presidential Candidates' Healthcare Strategies
August 10th 2016Marilyn Tavenner, president and CEO of America’s Health Insurance Plans, believes that while the tone of this year’s presidential election race has been interesting, the discussion among the candidates regarding issues of healthcare and coverage have generally been the same as elections in years past.
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Linda Schwimmer on the Importance of Bringing Stakeholders Together
August 9th 2016Many stakeholders in healthcare have concerns about the same issues just from different vantage points, they just need to be brought together in order to enact any change, explained Linda Schwimmer, JD, president and CEO at the New Jersey Health Care Quality Institute.
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Dr Scott Breidbart Discusses When to Pay Physicians, Patients for Adherence
August 8th 2016Patient adherence is about combining the appropriate tests, lifestyle changes and medications to produce the most optimal health outcomes, said Scott Breidbart, MD, MBA, chief clinical officer of EmblemHealth. However, he added that deciding when to pay physicians and patients for adherence and where payment may not be successful is a difficult model to tackle.
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Jay Sheehy Discusses Technology's Role in Consumer Engagement
August 4th 2016Technology has come to play an important role in the way health plans are interacting with consumers. According to Jay Sheehy, senior vice president of product innovation at EmblemHealth, technology not only gives health plans customized means of communicating with consumers, but it also allows them to better analyze data to tailor messages to each individual.
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Dr Marcia Wilson Discusses the Patient's Role in Quality Measurements
August 2nd 2016Patient-reported outcomes are important and necessary measures that should be used more, as they give the patient a voice in terms of the quality of care they receive, said Marcia Wilson, PhD, MBA, senior vice president of quality measurement at The National Quality Forum.
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Dr Joe Antos on the American Enterprise Institute's ACA Proposals
July 31st 2016The American Enterprise Institute released a report that detailed several proposals of change for the ACA that could possibly be implemented with the next president. Joe Antos, PhD, the Wilson H. Taylor Scholar in Health Care and Retirement Policy at the American Enterprise Institute, said that though these changes would depend on the party in office, implementing them wouldn’t necessarily be easy.
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Dr Patricia Salber Talks 2016 Election and the Future of Medicaid
July 28th 2016The upcoming election is going to play a large role in the future of Obamacare, which Patricia Salber, MD, MBA, of The Doctor Weighs In, believes will show an increased number of states expanding Medicaid. She added that the ticket will be important in determining the types of legislatures at the state level in the coming years, which in the end determines whether Medicaid will expand in the holdout states.
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Rocco Perla on the Gaining Popularity of Social Needs Interventions
July 27th 2016Recently, there has been more evidence highlighting the importance of social needs interventions, as these measures get to the root of a patient’s specific health issue and can ultimately impact the sustainability of the healthcare system as well as the patient’s quality of life, said Rocco Perla, president of Health Leads.
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Jennifer Sullivan on Enroll America's Strategy for Consumer Engagement
July 26th 2016Communication and education about the available health coverage options was important in keeping consumers informed about enrollment, which Jennifer Sullivan, director of the Best Practices Institute at Enroll America, said was key in engaging consumers.
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Susan Dentzer Discusses Innovation in Healthcare
July 24th 2016Susan Dentzer, president and CEO of The Network for Excellence in Health Innovation, discussed innovation happening in healthcare and the growing discussion around social determinants of health and addressing the upstream drivers of health.
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