Insurance

Karen 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.

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.

Election 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.

Among 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.

Robert 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.

Sara 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.