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The CMS has released a sweeping proposed rule (PDF) intended to modernize the regulation of Medicaid managed-care plans. The Medicaid managed-care population is growing rapidly, but the last regulation governing such plans was issued in...
Last Friday, U.S. Senators Maria Cantwell (D-WA), Patty Murray (D-WA) and John Thune (R-SD) introduced bipartisan legislation that would improve Medicare Accountable Care Organizations (ACO’s) for patients and health care providers. The...
Federal investigators say the current process to review and recommend how Medicare pays doctors leaves it susceptible to inaccurate reporting and conflicts of interests. report (PDF) released Thursday by the Government Accountability...
When 62-year-old Rod Larson of Minneapolis was found to have a rapidly worsening bacterial skin infection, his primary care doctor immediately sent him to the hospital. On arrival, Larson was put in a room and examined by a physician...
Health-care leaders gathered on Thursday to celebrate strides that Rhode Island has made in improving primary care, namely the spread of doctor's offices called "patient-centered medical homes" — soon to be expanded to pediatric practices...
The Department of Health and Human Services threw down the gauntlet in late January when Secretary Sylvia Burwell announced its intention to increase value-based purchasing dramatically in the next few years. HHS plans to move its payment...
Bridging the divide between behavioral and primary health care not only makes sense, it’s what patients want. Recent Blue Shield of California Foundation research reveals that low-income patients prefer to receive behavioral health...
Successful population health management will require a lot more from the nation's healthcare leaders than merely revamping their systems' delivery models—as difficult as that will be.  The vagueness of the term population health...
WASHINGTON – Today the Patient-Centered Primary Care Collaborative (PCPCC) announced the recipients of its 2015 leadership awards. Dr. Calvin Sia will receive the group’s prestigious Barbara Starfield Primary Care Leadership Award during...
Senate Finance Committee Chairman Orrin Hatch (R-Utah) and Ranking Member Ron Wyden (D-Ore.) today announced a plan for the committee to address Medicare spending on treating multiple chronic illnesses, which accounts for the vast majority...
A new policy brief from Health Affairs and the Robert Wood Johnson Foundation (RWJF) examines how states have dealt with the expiration of the Affordable Care Act’s (ACA) Medicaid primary care fee bump. This provision required states to...
A new policy brief from Health Affairs and the Robert Wood Johnson Foundation (RWJF) examines how states have dealt with the expiration of the Affordable Care Act’s (ACA) Medicaid primary care fee bump. This provision required states to...
Is a good family doctor one who treats your knee pain and manages your recovery from heart surgery? Or is it one who refers you to an orthopedist and a cardiologist? Those are questions at the heart of a debate about primary care – one...
In response to the new healthcare reality of a consumer-driven market, many hospital and systems undertake new initiatives, including partnering with competitors to increase access to services, helping patients transition from primary care...
Health and Human Services Secretary Sylvia M. Burwell announced today approximately $101 million in Affordable Care Act funding to 164 new health center sites in 33 states and two U.S. Territories for the delivery of comprehensive primary...
The first national study on Hispanic health risks and leading causes of death in the United States by the Centers for Disease Control and Prevention (CDC) showed that similar to non-Hispanic whites (whites), the two leading causes of death...
I've had spirited debates with colleagues who defend the term—and mindset and values and needs—of 'patient.' I don’t disagree that many people want to be taken care of in times of need, but I think the choice between consumer and patient...
 A year ago, Jeffrey Davis had just about given up on going to the doctor. He was tired of waiting for physicians who always ran late, tired of being rushed through appointments, tired of never having diagnoses or treatment plans fully...
A U.S. government test program with doctors and hospitals slowed healthcare spending in Medicare coverage for the elderly and disabled by hundreds of millions of dollars in 2012 and 2013 but savings were less in the second year, a study...
A whole new set of choices related to payment plans are emerging now that the sustainable growth rate (SGR) for Medicare payments has expired. The changes will affect the way practitioners are paid by Uncle Sam, according to policy...

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