July 3rd 2025
Black men who were identified as sexual minorities were more receptive to long-acting injectable pre-exposure prophylaxis (PrEP) vs on-demand PrEP.
Best, Worst Cities for People With Disabilities Based on Health, Cost, and Lifestyle
October 4th 2016Having a disability is not only a physical burden that can impair a person’s ability to run errands, such as going to the doctor’s office, but it is a cause of financial difficulty due to issues including unemployment and the cost of care.
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Lack of Medicaid Expansion in 19 States Led to Poorer Access to Care in Rural Areas
October 4th 2016States’ decisions not to expand Medicaid appears to be affecting the financial stability of rural hospitals in the United States more than in hospitals in urban areas, according to a study in Health Affairs.
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Supporting Population Health and Reducing Health Inequalities
October 3rd 2016Two Viewpoint articles JAMA highlight continuing healthcare deficiencies and inequalities in the United States and present a call to action for bold new strategies to direct resources toward improvements in support of population health.
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What We're Reading: Is There a Future for the ACA?
October 3rd 2016What we're reading, October 3, 2016: President Barack Obama's Affordable Care Act will have to change to survive; pharmacy benefit managers getting blamed for rising drug prices; and veterans could go without health insurance because states won't expand Medicaid.
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Linda Schwimmer Discusses Her Experiences in the Healthcare Industry
October 3rd 2016While working for Horizon Healthcare Innovations, Linda Schwimmer, JD, president and CEO of the New Jersey Health Care Quality Institute, gained insights on how best to transition to a pay-for-outcomes system and was able to actively work with healthcare stakeholders who were engaging in these models.
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Karin VanZant Explains How CareSource Fills the Gaps in Coordinated Care
October 2nd 2016CareSource is helping to bridge the gap in a patient’s care by working within that space to pull together the various stakeholders and put the patient’s care needs at the forefront of the conversation, said Karin VanZant, executive director of Life Services at CareSource.
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Medicaid Coverage Steadies, Private Managed Care Remains Significant
October 2nd 2016After 2 years of extraordinary gains in Medicaid coverage due to expansion under the Affordable Care Act, coverage in the program has steadied. Private managed care covers nearly three-fourths of enrolled lives.
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What We're Reading: Treasury Lost Funds in Favor of ACA Insurers
September 30th 2016What we're reading, September 30, 2016: HHS prioritized payments to Obamacare insurers over the Treasury; the CDC is concerned flu vaccinations may be down; and UnitedHealth Group and University of California come together for new partnership.
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Dr Nellie Konnikov Discusses Teledermatology in the VA
September 29th 2016Research has shown that care provided through teledermatology is comparable to that delivered in face-to-face appointments, and future dermatologists are being taught to deliver care this way to improve patient access to expert dermatological care, said Nellie Konnikov, MD, professor and chief of dermatology at the Boston Department of Veterans Affairs.
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Every Group Saw Drops in the Uninsured Rate Under the ACA, but Poll Finds Few Know It
September 29th 2016Data show that the biggest factor affecting distribution of uninsured rates was whether a state expanded Medicaid. Even with that limitation, uninsured rates have reached historic lows. The trouble is, only about one-fourth of Americans know this, and more have moved on to issues that affect them personally, such as the cost of premiums or high deductibles.
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What We're Reading: Panel Recommends Expanding Preventive Services for Women
September 27th 2016What we're reading, September 27, 2016: a panel of experts recommends expanding preventive services for women with no cost sharing; BlueCross BlueShield of Tennessee is exiting 3 Obamacare exchanges; and Pfizer will not split into 2 companies.
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How Has the ACA Affected Populations at Risk for High Health Spending?
September 26th 2016Analysis of prescription transaction data provided insight into reduced out-of-pocket spending and increased medical fill rates for people who gained coverage under the Affordable Care Act and had at least 1 chronic condition.
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Health Centers Reduce Spending by 24% for Medicaid Beneficiaries
September 25th 2016Under the Affordable Care Act, health centers received federal funding to provide comprehensive primary care to patients in underserved communities. An analysis of Medicaid claims data in 13 states has found that these health centers reduced spending by 24% per Medicaid patient.
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Study Shows Medicare's Readmission Rate Penalties Are Unfair to Safety Net Hospitals
September 24th 2016Readmission rates for both safety net hospitals and other hospitals have decreased since Medicare’s Hospital Readmissions Reduction Program went into effect in 2013. However, disparate rates of improvement could show that these hospitals in low-income areas are still at a disadvantage.
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What We're Reading: California Commissioner Wants to Try a Public Option
September 23rd 2016What we're reading, September 23, 2016: California's insurance commissioner wants to try a public option; Valeant avoids double-digit price hikes with 9.9% increases; maker of Suboxone being sued by 35 states and the District of Columbia for keeping generics off the market.
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Dr Roger Kathol Explains the Integration of Behavioral Health
September 22nd 2016The integration of behavioral healthcare into a medical setting is being delayed by resistance from those benefiting from the current payment model, said Roger Kathol, MD, president of Cartesian Solutions, Inc., and adjunct professor of psychiatry at the University of Minnesota.
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Shortfalls in Emergency Psychiatric Care Persist, Study Finds
September 20th 2016People who visit the emergency department (ED) for mental health care are transferred to another facility at a rate 6 times higher than people who visit EDs for non-psychiatric conditions, and they wait hours longer, as well
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Jay Sheehy on the Future of a Consumer-Driven Healthcare Industry
September 20th 2016Ideally, the healthcare industry needs to be more consumer driven, so that solutions and programs are built with the patient in mind, said Jay Sheehy, senior vice president of product innovation at EmblemHealth.
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Linda Schwimmer Explains NJ Health Care Quality Institute's Role
September 19th 2016Since the implementation of the Affordable Care Act, more and more individuals are gaining access to insurance. Therefore, part of the New Jersey Health Care Quality Institute's responsibility is to make the complexities of the healthcare industry more easily understandable for members, according to Linda Schwimmer, JD, president and CEO of the New Jersey Health Care Quality Institute
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This Week in Managed Care: September 17, 2016
September 17th 2016This week, the top managed care stories included news that Risa Lavizzo-Mourey, MD, MBA, will be leaving the Robert Wood Johnson Foundation, a report that obesity rate in the military are also on the rise, and CMS denied Ohio's proposal to charge fees for Medicaid.
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ASCO President Dr Daniel F. Hayes Applauds Recommendations for Cancer Moonshot
September 16th 2016The American Journal of Managed Care reached out to Daniel F. Hayes, MD, FASCO, 2016-2017 president of the American Society of Clinical Oncology (ASCO), to understand his perception of how the recommendations of the Cancer Moonshot initiative's Blue Ribbon Panel would impact cancer care in the United States.
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What US Health Insurers' Data Show for ACA "Repealers"
September 14th 2016Analysis of the rich data of US health insurers-pivotal players in the healthcare system-reveals continuing reductions in employer-provided group health insurance and increases in Medicaid members and utilizations following the Affordable Care Act.
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