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One promise of Medicaid expansion is the opportunity to keep those who previously lacked insurance from seeking routine care in the emergency room. In time that may happen, but in the short term it’s not always the case, as authors discuss...
The Aging Brain Care Medical Home, a novel population health management program implemented in the homes of older adults achieves significant health improvement for individuals with depression and also substantial stress reduction in...
As the 50th anniversary of Medicaid approaches, a new report claims there is much work to do on the state-federal program, from finding sustainable hospital payment reforms to tackling the problem of poor oral health, according to the...
Now, the largest healthcare provider in Kansas is introducing the most effective element of the PCMH — team-based care — to all of its Via Christi Clinic locations and to other physician practices participating in its Healthier You...
NEW ORLEANS — A bundled care approach called Health 360 designed by a group of nurse practitioners at the University of Arizona College of Nursing is aiming to improve the quality of care for complex patients at high risk for readmission...
Health information technology experts told a U.S. Senate health committee that they need to use persuasion rather than legislation to fix problems with the multibillion-dollar federal health IT program. The hearing focused on the decades-...
The Centers for Medicare and Medicaid Services (CMS) released its long awaited Medicaid managed care proposed rules on May 26; the rules were published in the Federal Register on June 1 (80 Fed. Reg. 30198-31297). The last time the federal...
"Independence Blue Cross then assigns each high scorer a staff member — what it calls a “health coach,” who will work at no charge to the client to see what extra services may be helpful. “This coordinated effort then works for the...
According to a special June issue of the American Journal of Public Health (AJPH)  [External Web Site Policy] , released today,significant disparities in the burden of disease and illness experienced by different groups persist.  The...
FOR IMMEDIATE RELEASE June 5, 2015 CONTACT: Lisabeth Buelt lisabeth@pcpcc.net | (202) 417-3911 An important study regarding the patient-centered medical home (PCMH) model of care was published in JAMA Internal Medicine this week: Effects...
The Centers for Medicare & Medicaid late Thursday released its final rule on the Medicare Shared Savings Program (MSSP) in an effort to encourage more participation of accountable care organizations (ACOs) in risk-based models. The...
STORY HIGHLIGHTS New research published in the Annals of Family Medicine explores inconsistencies in the use of health information technology to facilitate care-coordination activities. Researchers found that care-coordination...
An institution with heavy influence over how much physicians are paid has been sharply criticized by a federal agency that echoes AAFP calls for more transparency and a greater voice for primary care physicians. [Stethoscope laying on...
STORY HIGHLIGHTS During a May 28 meeting, AAFP President Robert Wergin, M.D., spoke before an Institute of Medicine committee charged with evaluating the impact of The Future of Nursing: Leading Change, Advancing Health five years after...
Performance improvements are attributed in part to tying physicians' performance bonuses to actionable patient data. But "not all medical home interventions are alike," one researcher notes. A medical home model in Pennsylvania that...
Six medical groups participating in Anthem Blue Cross’ Accountable Care Organization (ACO) program were able to save $7.9 million in just one year by focusing on improving population health management for patients suffering multiple...
A three-year study of a 'medical home' intervention that paid bonuses to physician practices based on financial savings has shown significant improvements in quality and use of some medical services relative to comparison practices,...
Anthem Blue Cross (Anthem) announced today its Accountable Care Organizations (ACOs) under its Enhanced Personal Health Care Program, which targets PPO members with two or more chronic conditions to improve their overall health through...
Do you want to live longer; enjoy better health; avoid unnecessary emergency room visits, hospitalizations and surgeries; and pay lower health care costs? I surmise that for nearly everyone, the answer is “yes.” Each of these goals can be...
Douglas White knew high-deductible insurance is supposed to make patients feel the pain of medical prices and turn them into smart shoppers. So he shopped. He called around for price quotes on the CT scan his doctor ordered. After all,...

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