- Center on Health Equity and Access
- Clinical
- Health Care Cost
- Health Care Delivery
- Insurance
- Policy
- Technology
- Value-Based Care
Innovative Payment and Delivery Models: Are They Working?
There are a lot of new payment and delivery models available and being tested, but the US still doesn’t have a payment system that aligns people’s incentives the right way, said Margaret E. O’Kane. Instead, with fee-for-service around, people still have an incentive for overuse, because they can make money.
Watching the new payment and delivery models, though, she pointed out that it’s important to not just get caught up on whether a certain model work. That’s not the right mindset. Instead, people should choose a model and make it work by adjusting it until payment policies are in place to reward efficiency.
Matt Salo added that while it’s great to consider shared savings or bundled payments, they need to be paired with the right tools to make them work. He used the example that primary care physicians need to be shown how to set up a patient-centered medical home, how to structure it, who to hire, etc.
He tied the conversation into patient engagement in new delivery models and figuring out what motivates the patient and why, for instance, are families overusing the emergency room.
“You’ve got to figure out why are they doing what they’re doing that’s wrong, and how do you empower them to do the right thing,” Salo said.
HOPE-CAT Can Identify Maternal Cardiovascular Risk 2 Months Earlier Than Doctors, Study Says
April 25th 2024In a retrospective study, the machine learning tool was able to screen for potential risks of cardiovascular disease nearly 60 days before the patient's medical record showed any signs of a related condition or before they were officially diagnosed or treated for it.
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Examining Low-Value Cancer Care Trends Amidst the COVID-19 Pandemic
April 25th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the April 2024 issue of The American Journal of Managed Care® about their findings on the rates of low-value cancer care services throughout the COVID-19 pandemic.
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Navigating Health Policy in an Election Year: Insights From Dr Dennis Scanlon
April 2nd 2024On this episode of Managed Care Cast, we're talking with Dennis Scanlon, PhD, the editor in chief of The American Journal of Accountable Care®, about prior authorization, price transparency, the impact of health policy on the upcoming election, and more.
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Data Back Neoadjuvant Combo vs Chemo Alone for Early-Stage NSCLC
April 24th 2024For patients with early-stage non–small cell lung cancer (NSCLC), combining neoadjuvant immune checkpoint inhibitors and platinum-based chemotherapy improves 2-year outcomes over chemotherapy alone, suggest findings of an extensive literature review and meta-analysis.
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