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Reform Update: Medicare Managed Care Linked to Overall Savings, Study Finds
Hospital visits are shorter and less costly for all patients in markets with more of them enrolled in Medicare managed care, according to new research. The results suggest hospitals make far-reaching changes to delivery as incentives to better manage care increase.
Incentives to coordinate care prompt investments, such as information technology, and widespread adoption of new delivery models that ultimately benefit all patients, regardless of insurance, a trio of Harvard University researchers wrote in a paper published by the National Bureau of Economic Research.
Hospital costs for enrollees in traditional fee-for-service Medicare would drop by $600 million when the Medicare Advantage market share increases 5 percentage points of the market, according to an analysis of spending at the county level in five states.
Read the full story here: http://bit.ly/10EgPlF
Source: Modern Healthcare
Similar outcomes may be true for other Medicare models—including accountable care and bundled payments under health reform—that seek to incentivize greater care management as managed care does, said Katherine Baicker, a health economics professor at the Harvard School of Public Health, who co-authored the paper with Michael Chernew and Jacob Robbins.
Commonwealth Fund Report Details Pervasive Racial and Ethnic Disparities in US Health Care, Outcomes
April 18th 2024Using 25 health system performance indicators, the Commonwealth Fund 2024 State Health Disparities Report evaluated racial and ethnic disparities in health care and health outcomes both within and across US states and highlighted the urgent need for equitable health care policies and practices in the US.
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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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Exploring Medicare Advantage Prior Authorization Variations
March 26th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the March 2024 issue of The American Journal of Managed Care® about their findings on variations in prior authorization use across Medicare Advantage plans.
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