Health Care Delivery

The increased emphasis that the Affordable Care Act and Medicare accountable care organizations (ACOs) placed on prevention is important in reducing the high cost of older patients, especially as the baby boomer generation reached retirement age, explained Mariétou Ouayogodé, PhD, post-doctoral fellow at The Dartmouth Institute for Health Policy and Clinical Practice at the Geisel School of Medicine at Dartmouth.

Difficulty in making pricing and reimbursement decisions for rare diseases has prevented patients from having universal access to new medicines despite increased investment in their research and development. In Europe, a group has proposed 9 principles to guide value assessment, pricing, and funding.

HHS Secretary Tom Price, MD, continued to downplay the Congressional Budget Office’s report on the GOP healthcare bill, promoted how the plan gives Americans more choice, and clarified an earlier statement made about the financial health of patients during a CNN town hall moderated by Wolf Blitzer and Dana Bash.

Affordable Care Act exchange enrollees in California and Colorado reported significant improvements in access to care and fewer barriers to receiving care due to costs.

Improving patient collections in fast-paced, high-volume clinical environments.

Raj Toleti, CEO and founder of HealthGrid, has created patient-driven technologies to help empower them when they are accessing care.

Groups say the approach of the Republicans' plan moves away from prevention, which had been a chief aim of the Affordable Care Act. A large cut to the CDC would leave the future of the Diabetes Prevention Program unclear.

Up to 24 million people would lose health coverage under the American Health Care Act, the Republican plan to replace the Affordable Care Act (ACA), according to a report released today by the Congressional Budget Office (CBO). That would include up to 14 million in the first year alone, or two-thirds of the 21 million who have gained coverage under the ACA.

On May 4-5, 2017, The American Journal of Managed Care's ACO & Emerging Healthcare Delivery Coalition will head back to Scottsdale, Arizona, to bring together stakeholders from across the industry.

Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast.

Advocates note that the cuts would put the nation's health system in reverse, away from stopping health problems before they get out of hand.

This week, the top managed care news included a bill from House Republicans to repeal and replace the Affordable Care Act, a new program at Walgreens to train pharmacists on an advanced cancer-care curriculum, and findings that health coaching helps the neediest patients most.

Several medical interest groups have raised their opposition to the new Republican plan drafted to replace the Affordable Care Act.

During a speech at America’s Health Insurance Plans’ National Health Policy Conference, held March 8-9 in Washington, DC, Newt Gingrich, former House speaker, ran through the hurdles Republicans will face in order to get the American Health Care Act passed.

Protecting coverage gains that were made under the Affordable Care Act was one of the top concerns of experts representing insurers, physicians, and hospitals during a panel discussion at America’s Health Insurance Plans (AHIP)’s National Health Policy Conference, held March 8-9 in Washington, DC.

Just hours before House Republicans released their long-awaited Affordable Care Act replacement bill, Patricia Salber, MD, MBA, of The Doctor Weighs In, and Nathan Bays, general counsel and executive director at the Health Management Academy, discussed what was expected to be included in the final bill and mostly accurately predicted the main provisions of the new bill.

After weeks of leaked drafts and secret, closed door meetings, House Republicans have released the American Health Care Act, their bill to replace former President Barack Obama’s Affordable Care Act.

The widespread nature of the opioid epidemic will require coordination from a variety of stakeholders and all levels of government. In this podcast, experts discuss how the crisis got so out of hand, various tactics being undertaken to reverse the opioid, and the current impact of stigma on getting treatment.

How will drug developers price gene therapy treatments to recover their investment and ensure that society can bear the impending cost?