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Understanding Barriers to Accessing Specialty Care Under Medicaid Expansion
March 16th 2019A study in this month's Medicaid themed issue explored the obstacles standing between Medicaid beneficiaries and access to specialty care in states that have expanded Medicaid. It also discussed strategies that community health centers may use to help their Medicaid patients obtain visits with specialists.
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Realigning Accountability to Improve Population Healthcare Delivery Under MIPS
March 6th 2019In this month's issue of The American Journal of Accountable Care®, a sister publication of The American Journal of Managed Care®, a commentary argues that current population health efforts under Medicare's Merit-based Incentive System (MIPS) have been hampered by the misalignment of accountability, and therefore, population health management will improve when shared accountability among stakeholders is achieved.
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Improving Care While Reducing Costs Through ACOs and Other Value-Based Efforts
February 20th 2019Improving the quality of care while also reducing costs has become a centerpiece for transforming the US healthcare system. As efforts across the country continue to be introduced, accountable care organizations (ACOs) have emerged as an effective way to address these 2 issues.
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Overheard at AcademyHealth: Health Policy, Social Determinants, and Data
February 5th 2019During the AcademyHealth 2019 National Health Policy Conference held in Washington, DC, healthcare stakeholders from across the country joined to make sense of healthcare policy and examine new and innovative ways of addressing a person's health.
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Discussing the Continuing Decline in Overall Cancer Mortality in the United States
January 30th 2019In this podcast, we speak with Rebecca Siegel, MPH, strategic director of surveillance information services in the Intramural Research Department at the American Cancer Society, and the lead author of the annual Cancer Statistics report that estimates the number of new cancer cases and deaths in the United States each year.
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As Cancer Incidence Changes, So Do Screening Recommendations
January 23rd 2019Five years ago, the American Cancer Society (ACS) recommended that patients at average risk of colorectal cancer start getting screened at age 50. However, in recent years, cancer incidence has changed, with a growing incidence seen in patients under age 50. Reflecting this change, ACS changed the recommended sceening age to 45 in May 2018.
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Understanding What Drives Health Information Exchange Use During Postacute Care Transitions
January 18th 2019Dori A. Cross, PhD, discusses a study she was an author on, which characterized the drivers of the use of electronic health information exchange by skilled nursing facilities to access patient hospital data during care transitions. The paper was published in the annual health information technology issue from The American Journal of Managed Care®.
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Examining How Mergers and Acquisitions Are Shaking Up Healthcare
December 19th 2018As we enter an era of megamergers like the one between CVS Health and Aetna, The American Journal of Managed Care® convened its Oncology Stakeholder Summit to discuss the history of mergers and acquisitions, the reasons behind them, and what they mean for different stakeholders.
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Using Cost Variation to Identify Savings Opportunities Under the OCM
December 14th 2018A study published in this month's issue of The American Journal of Managed Care® estimated standardized episode-level spending for patients across subcategories of care for each hospital referral region—defined by the Dartmouth Atlas—in order to identify the greatest opportunities for cost savings under the Oncology Care Model (OCM).
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