Posts Tagged ‘health insurance marketplaces’

Infographic: Assessing the Affordable Care Act

October 29th, 2014 by Melanie Matthews

There are a number of measures that could be used to evaluate the effectiveness of the Affordable Care Act, according to the Commonwealth Fund.

To date, the ACA’s implementation has been associated with significant progress, reflected in a new infographic by the Commonwealth Fund. The infographic looks at the ACA marketplaces and health insurance enrollment and uninsured trends since the ACA’s implementation.

Asessing the Affordable Care Act

Pursuing the Triple Aim: Seven Innovators Show the Way to Better Care, Better Health, and Lower CostsPursuing the Triple Aim: Seven Innovators Show the Way to Better Care, Better Health, and Lower Costs shares compelling stories that are emerging in locations ranging from Pittsburgh to Seattle, from Boston to Oakland, focused on topics including improving quality and lowering costs in primary care; setting challenging goals to control chronic disease with notable outcomes; leveraging employer buying power to improve quality, reduce waste, and drive down cost; paying for care under an innovative contract that compensates for quality rather than quantity; and much more. The authors describe these innovations in detail, and show the way toward a healthcare system for the nation that improves the experience and quality of care while at the same time controlling costs.

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Infographic: Healthcare Quality in Insurance Marketplaces

August 11th, 2014 by Melanie Matthews

Under the Affordable Care Act, some health insurance marketplaces have taken steps to improve healthcare quality and delivery in their states.

A new infographic from The Commonwealth Fund examines which states and how the marketplaces are improving quality.

13 States Are Using the Health Insurance Marketplaces to Improve Quality

The new health insurance exchange marketplaces, public and private, will have a profound impact on the under- and uninsured…and will permanently alter the way health insurance is bought and sold.

AIS's Health Insurance Exchange Directory and FactbookAIS’s Health Insurance Exchange Directory and Factbook is the definitive health industry guide to health insurance exchange implementation and stakeholder strategies, with in-depth coverage of every big-dollar business issue related to the new marketplaces — including technological infrastructure, consumer support tools, benefit design, marketing, FFEs and much more.

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Have an infographic you’d like featured on our site? Click here for submission guidelines.

Healthcare Business Week in Review: Home Visits; Patient Portals; Health Insurance Marketplaces; Hospital Pricing

January 17th, 2014 by Cheryl Miller

There is no place like home visits to address safety issues, and patient care concerns. Despite the explosion of mobile and telehealth technologies, there is no substitute for person-to-person contact — at least when it comes to populations at high risk of hospital admission or readmission, the results of the Healthcare Intelligence Network’s inaugural Home Visits study indicate. Three-fourths of healthcare organizations visit some percentage of their patients or health plan members in their homes in order to keep patients safer and healthier and to keep readmissions and costly utilizers at bay.

But there is a time and place for telehealth technology, and new research in the journal Medical Care shows that diabetics who used an online patient portal to refill medications and schedule their appointments, among other tasks, increased their medication adherence and improved their cholesterol levels by 6 percent, compared to occasional users or non-users. Researchers say the current study provides new evidence that patient portals may help patients adhere to their medications and achieve improved health outcomes.

About one-quarter of Americans potentially eligible for health coverage visited insurance marketplaces by December, up from 17 percent in October, according to a new Commonwealth Fund survey. Forty percent of these visitors were young adults; three-quarters said they were in good health; and more than half said they are likely to try to enroll by the March 2014 deadline. The survey, conducted between December 11 and 29, 2013, is the second in a series aimed at tracking Americans’ experiences with the marketplaces in the ACA’s first open enrollment period. The first Commonwealth Fund survey, conducted in October, found that 17 percent of people potentially eligible for coverage had visited the marketplaces during the first month.

Despite increasing scrutiny on hospital pricing practices, some U.S. hospitals are charging more than 10 times their cost, or nearly $1200 for every $100 of their total costs, according to new data released by National Nurses United (NNU) and the Institute for Health and Socio-Economic Policy (IHSP).

The 100 most expensive hospitals listed charge 765 percent and higher, more than double the national average of 331 percent, the report says. Fourteen U.S. hospitals charge more than $1,000 for every $100 of their total costs (a charge to cost ratio of 1,000 percent) topped by Meadowlands Hospital Medical Center in Secaucus, NJ, which has a charge-to-cost ratio of 1,192 percent. California, with a statewide average of 451 percent charge to cost ratio, ranks third overall in the United States. The detailed report includes the most expensive hospitals, the top 10 for each state, and the 50 most expensive hospital systems.

Discussions about end-of-life care for adults are never easy; they are even more difficult when they concern children. The National Institute of Nursing Research (NINR) has launched a new campaign, Palliative Care: Conversations Matter, that is designed to help children and families navigate a serious illness, and better inform them of supportive resources. A component of the National Institutes of Health (NIH), it brings together parents and palliative care clinicians, scientists, and professionals, who give their input and expertise on what they feel is needed in the field. Don’t miss the video which tells one mother’s story about her daughter’s bout with neuroblastoma and how palliative care helped them through it.

You can share your organization’s work in palliative care in our current e-survey: 10 Questions on Palliative Care. With more organizations focusing on palliative care as a means to enhance the patient experience during advanced or terminal illness, many are strategizing new ways to assess and address patients’ needs at this time, from consultations in the ED to face-to-face evaluations in outpatient clinics. Describe your organization’s efforts in palliative care by February 7, 2014 and you will receive a free summary of survey results once it is compiled.

Our congratulations to one of our survey participants, Timothy Price, a market research analyst with Caresource, who was randomly selected as the winner of our training DVD from our 10th annual Healthcare Trends & Forecasts webinar.

Healthcare Business Week in Review: Patient Satisfaction; Health Insurance Marketplaces; Physician Shortage

November 15th, 2013 by Cheryl Miller

Familiarity does not breed contempt; instead, it leads to increased patient satisfaction scores, according to a new Vanderbilt study.

Realizing that nearly 90 percent of medical patients are unable to correctly name their treating physician following inpatient admission, researchers studied the effects of giving a randomized group of patients a simple biosketch card about their doctor. Patient satisfaction scores for the group receiving the card were 22 percent higher than those who did not receive the card. With Medicare reimbursements linked to HCAHPS patient satisfaction scores, this study has significant ramifications.

Some good news about the health insurance marketplaces: despite widespread difficulty accessing the online sites, public awareness has tripled since their October 1st launch, and a majority of those unable to access them will try again, according to a new Commonwealth Fund survey.

According to the survey brief, more than half (58 percent) of those who are potentially eligible for coverage but who have not yet enrolled say they are likely to try to enroll or find out about financial help by March 31, 2014, the end of the open enrollment period. Seventeen percent of Americans who are potentially eligible for coverage have visited new health insurance marketplaces to buy coverage, via mail, Internet, phone, or in person. And nearly a third of adults who visited the marketplaces ranked their experiences as good or excellent. The extensive tracking survey is expected to come out again in December.

The expected glut of newly insured Americans seeking healthcare under the ACA could result in anticipated shortage of primary care physicians (PCPs) over the next decade, according to a new RAND Corporation study.

Expanding the role of nurse practitioners and physician assistants could help eliminate this. By using new models of healthcare that depend more on non-physicians, such as patient-centered medical homes (PCMHs) and nurse-managed health centers, more than 50 percent of the expected shortage predicted to hit the United States over the next decade could be eliminated.

One way to keep Americans healthy: offer them incentives. And while offering NASCAR® tickets for completing a health risk assessment (HRA) might not be successful for everyone, they were the right incentive for one trucking company surveyed by Buck Consultants’ National Clinical Practice, says principal Patricia Curran. Many companies offer employees incentives for wellness participation, but they need to look at their population and determine what would most motivate them. We detail more in this week’s featured book excerpt.

Need an incentive to finish our current online survey on Healthcare Trends in 2014? How about a training DVD of the “2014 Healthcare Trends and Forecasts” webinar recorded on October 30, 2013? One lucky respondent to our survey will win it, so please tell us about the last 12 months and how your organization is preparing for 2014 by completing HIN’s ninth annual survey by November 18, 2013.