March 28th 2024
CMS released a final rule to help patients obtain Children’s Health Insurance Program (CHIP) coverage and issued a proposed rule to update Medicare payment policies and rates for inpatient rehabilitation facilities; debate over if gift card incentives are acceptable in health care marketing.
Karen Ignagni, President and CEO, AHIP, Discusses Value-Based Payment Models
November 2nd 2012Karen Ignagni, President and Chief Executive Officer, AHIP, says that we need to move from paying hospitals and clinicians based on volume to the value of services provided. In this video, Ms. Ignagni addresses the need to change the way payment is designed and delivered.
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Medicare Part D Claims Rejections for Nursing Home Residents, 2006 to 2010
This study presents data on paid and rejected claims submitted by 1 large long-term care pharmacy over the initial 5 years of Medicare Part D.
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Medicare Reform Discussion Rages on During VP Debate
October 15th 2012Election Day is less than a month away now, and the candidates' stances on key issues related to healthcare are becoming clearer. One of the most polarizing issues so far has been Medicare. The Obama and Romney administrations have radically different views on how to move forward with the program, and those views were a major topic of conversation during last night's Vice Presidential Debate.
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Accountable Care Organization Model Gains Momentum Despite Risks
October 1st 2012Among the many delivery models that have been discussed in the midst of healthcare reform is Accountable Care Organizations (ACOs). The general idea behind the ACO model is to provide something that is currently missing from our healthcare system: an incentive in the form of shared savings for organizations to constrain resources while maintaining (or even improving) quality.
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Robert Berenson, MD, FACP, Discusses How to Better Inform Providers on Quality Measures
September 25th 2012Robert Berenson, MD, FACP, Institue Fellow, Health Policy Center, Urban Institute, states that the development of new care delivery models will not happen overnight. There is time before expectations are put into specific quality metrics and regulations for models such as patient-centered medical homes and accountable care organizations.
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Sara Rosenbaum, JD, Answers What Would Happen if States Opt Out of Medicaid Expansion
September 25th 2012Sara Rosenbaum, JD, Harold and Jane Hirsh Professor of Health Law and Policy and Founding Chair, Department of Health Policy, George Washington University School of Public Health and Health Services, says that the purpose of health reform was to provide people a source of affordable coverage so everyone would be attached to a payment system.
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