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State, Insurers Base Payments on Value Amid Rising Healthcare Costs
Ohio is planning to implement a public- and private-sector partnership to cut healthcare costs in the Medicaid program and the private insurance market. The state aims to have 90 percent of its population covered by insurance emphasizing value over volume within five years.
Ohio is planning to implement a public- and private-sector partnership to cut healthcare costs in the Medicaid program and the private insurance market, according to The Columbus Dispatch. The state aims to have 90 percent of its population covered by insurance emphasizing value over volume within five years.
With a $3 million federal grant authorized by the Affordable Care Act, Ohio officials are working with Aetna, Anthem Blue Cross and Blue Shield in Ohio, CareSource, Medical Mutual of Ohio and United Healthcare to launch the new program next year.
The program will initially focus on using primary care doctors to coordinate healthcare and designing new ways to pay for five high-cost "episodes," including joint replacement and certain treatments of asthma and chronic obstructive pulmonary disease.
Read the full story here: http://bit.ly/17IttUl
Source: Fierce Health Payer
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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Lack of Mutations Associated With Favorable Prognosis in MPN-U
April 25th 2024While the Dynamic International Prognostic Scoring System and bone marrow blasts may predict overall survival, the lack of certain mutations is also associated with a better prognosis for myeloproliferative neoplasm, unclassifiable (MPN-U).
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Empowering Community Health Through Wellness and Faith
April 23rd 2024To help celebrate and recognize National Minority Health Month, we are bringing you a special month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. In the third episode, Camille Clarke-Smith, EdD, MS, CHES, CPT, discusses approaching community health holistically through spiritual and community engagement.
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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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