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Medicaid Turning to Analytics, Accountable Care
Among state experiments in Medicaid policy, Colorado's accountable care collaborative program is showing early successes in coordinating care and curtailing overutilization - and its analytics platform is supporting a good deal of the collaboration, despite a number of hurdles.
Among state experiments in Medicaid policy, Colorado’s accountable care collaborative program is showing early successes in coordinating care and curtailing overutilization — and its analytics platform is supporting a good deal of the collaboration, despite a number of hurdles.
Now covering about half the state’s beneficiaries, Colorado’s Medicaid accountable care program saw a 15 percent reduction in hospital admissions and a 25 percent reduction in high-cost imaging in the 2013 fiscal year, contributing to $44 million in savings, the Department of Health Care Policy and Financing announced recently.
Most of that is going to providers as incentive bonuses and $6 million is returning to state coffers.
Read the full story here: http://bit.ly/1hjld2Z
Source: Government Health IT
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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Oncology Onward: A Conversation With Penn Medicine's Dr Justin Bekelman
December 19th 2023Justin Bekelman, MD, director of the Penn Center for Cancer Care Innovation, sat with our hosts Emeline Aviki, MD, MBA, and Stephen Schleicher, MD, MBA, for our final episode of 2023 to discuss the importance of collaboration between academic medicine and community oncology and testing innovative cancer care delivery in these settings.
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Covered Preventive Services at Risk: V-BID Summit Breaks Down the Braidwood v Becerra Case
March 20th 2024For more than a decade, certain high-value preventive care services have been covered at no cost to patients under the Affordable Care Act, but a current legal challenge has the coverage at risk.
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Reducing Low-Value Care Is Hard, but What About Just Not Paying for It?
March 14th 2024After years of efforts to reduce low-value care, panelists at the 2024 Value-Based Insurance Design Summit proposed a new strategy: drawing a line in the sand that payers will not be on the hook for these services.
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