Monthly Archives: July 2012

Patient Access, Preventive Care Key to Cigna’s Growing Accountable Care Initiatives

Cigna has added six states to its growing roster of collaborative care programs that use registered nurses and physician groups to improve health outcomes. The health provider has expanded its collaborative accountable care programs through new initiatives with physician groups … finish reading Patient Access, Preventive Care Key to Cigna’s Growing Accountable Care Initiatives

Posted in Accountable Care Organizations, Avoidable Hospitalization, Clinical Integration, Healthcare Quality and Access, Healthcare Utilization, Hospital Readmissions, Improving Patient Care | Tagged , , , , , | Leave a comment

Expanding Medicaid to Low-Income Adults Leads to Improved Health, Fewer Deaths

Expanding Medicaid benefits for low-income adults leads to widespread gains in coverage, access to care, and improved health and reduced mortality, according to a study from Harvard School of Public Health (HSPH). In the first published study since the Supreme … finish reading Expanding Medicaid to Low-Income Adults Leads to Improved Health, Fewer Deaths

Posted in Elderly Care, Healthcare Law, Healthcare Reform, Medicaid | Tagged , , , | Leave a comment

4 Desired Outcomes of Embedded Case Management

Provider and member satisfaction is key when discussing desired outcomes of embedded case management practices, particularly from a regulatory viewpoint, says Charlene Schlude, RN, CCM, director of case management at Capital District Physicians Health Plan (CDPHP). Evaluating the medical cost … finish reading 4 Desired Outcomes of Embedded Case Management

Posted in Case Managers, Case Managers and the Patient Experience, Comprehensive Primary Care Programs, Embedded Case Manager, Healthcare Quality and Access, Patient Satisfaction | Tagged , , , | Leave a comment

Self-Insurance Gaining Momentum Among Small Firms

A growing number of small firms are looking into self-insurance as a way to protect themselves against potentially catastrophic employee medical claims, a trend that may pose challenges for policy makers, says a new study from the Center for Studying … finish reading Self-Insurance Gaining Momentum Among Small Firms

Posted in Alternative Healthcare Coverage, Disease Management, Health Insurance, Healthcare Costs, Healthcare Quality and Access | Tagged , , | Leave a comment

Over 5.2 Million Medicare Beneficiaries Have Saved $3.9 Billion on Prescription Drugs: CMS

More than 5 million seniors and people with disabilities have saved nearly $4 billion on prescription drugs since the ACA was first enacted, CMS officials report. For the first six months of this year, over 1 million Medicare beneficiaries saved … finish reading Over 5.2 Million Medicare Beneficiaries Have Saved $3.9 Billion on Prescription Drugs: CMS

Posted in Healthcare Costs, Healthcare Law, Healthcare Spending, Medicare, Medication Adherence, Prescription Drugs, Reducing Healthcare Costs | Tagged , , , , | Leave a comment

3 Ways to Assess Patients for Medication Adherence

Borrowing from therapeutic alliance formulas in other healthcare areas, pharmacists are increasingly using methods like motivational interviewing and brief interventions to successfully screen and evaluate patients for medication adherence, says Janice Pringle, PhD, director of the Program Evaluation Research Unit … finish reading 3 Ways to Assess Patients for Medication Adherence

Posted in Disease Management, Medication Adherence, Motivational Interviewing | Tagged , , , , | Leave a comment

Physical Health Problems Spur More Patients to Seek Mental Health Services

People who experience physical health problems are three times more likely to seek mental health services than those who have no physical ailments, according to a new study from Oregon State University (OSU). Using data from more than 6,000 people … finish reading Physical Health Problems Spur More Patients to Seek Mental Health Services

Posted in Alternative Healthcare Coverage, Avoidable Hospitalization, Clinical Integration, Diabetes, Disease Management, Healthcare Costs | Tagged , , , , , | Leave a comment

Alternative Payment Model Lowers Medical Spending, Improves Care

A global budget program, an alternative to traditonal fee-for-service reimbursement models, can lower the costs of medical spending and improve care quality for patients, according to a study from Harvard Medical School’s Department of Health Care Policy. The study, culled … finish reading Alternative Payment Model Lowers Medical Spending, Improves Care

Posted in Healthcare Costs, Incentives, Reducing Healthcare Costs | Tagged , , , | Leave a comment

CMS Announces 15 New Advance Payment ACOs

Fifteen new ACOs will receive monthly payments to help them with care coordination costs, according to the CMS. The 15 latest ACOs to receive advance payments operate in 10 states and join five ACOs that were selected in April, according … finish reading CMS Announces 15 New Advance Payment ACOs

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Hospitals’ Stroke-Care Rankings Must Include Stroke Severity: Study

Hospitals’ risk-standardized stroke-care rankings can be unfairly impacted if the severity of strokes are not considered, says a new study from UCLA. Under the ACA, hospitals and medical centers must report their quality-of-care and risk-standardized outcomes for stroke and other … finish reading Hospitals’ Stroke-Care Rankings Must Include Stroke Severity: Study

Posted in Avoidable Hospitalization, Cardiac Care, Health Risk Assessment and Stratification, Hospital Training, Improving Patient Care, Incentives, Medicare, Reducing Healthcare Costs | Tagged , , , , | Leave a comment