News Room

November 20, 2015 | Modern Healthcare
UnitedHealth Group has fired a warning shot at the Obama administration and state insurance officials, suggesting it will quit the individual marketplacesestablished by the Affordable Care Act by 2017 if more healthy people don't sign up...
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November 17, 2015 | AAFP News
When a concerned father told Mary Ann Heran that his daughter, once an enthusiastic student, now hated school and did not want to read, he found more than a sympathetic listener. Heran, the peer care coordinator for the Rhode Island...
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November 17, 2015 | AAFP News
For 39 days this fall, a team of AAFP staffers and selected family physician members toiled in unison to construct comprehensive feedback in response to a request for information (RFI) from CMS that was published in the Oct. 1 Federal...
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November 17, 2015 | CAPG
CAPG, the leading U.S. professional association for physician organizations practicing capitated, coordinated care, submitted comments at the request of the Centers for Medicare & Medicaid Services (CMS) on implementation of the...
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November 17, 2015 | National Partnership for Women and Families
The National Partnership for Women & Families today submitted comments applauding the Centers for Medicare & Medicaid Services (CMS) for its ongoing commitment to shifting to new payment models that reward quality and value, most...
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November 17, 2015 | Patient-Centered Primary Care Collaborative
On November 17th, the Patient-Centered Primary Care Collaborative (PCPCC) responded to the Center for Medicare and Medicaid Services Request for Information (RFI) regarding "Implementation of the Merit-Based Incentive Payment System,...
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November 13, 2015 | Modern Healthcare
The CMS is working to develop a separate star-rating system for health plans participating in an Obama administration experiment intended to better manage benefits and care for low-income and disabled Americans. In a Nov. 6 notice sent to...
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November 12, 2015 | Modern Healthcare
Maryland's Medicare patients are among the most costly in the nation and are more likely than those in many states to return to the hospital soon after leaving. That could be changing as Maryland adopts a new payment model under a special...
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November 11, 2015 | Patient-Centered Primary Care Collaborative
WASHINGTON – The Patient-Centered Primary Care Collaborative (PCPCC) kicks off its three day Annual Fall Conference today at the Grand Hyatt in Washington, D.C. The conference theme, “Investing in Primary Care: Patients, Professionals...
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November 11, 2015 | Blue Cross Blue Shield of Rhode Island
Patient centered medical home (PCMH) practices can improve health outcomes and lower costs for patients, according to a new study by Blue Cross & Blue Shield of Rhode Island (BCBSRI). At the end of a five-year study period, and in the...
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November 9, 2015 | Forbes
The idea of single‒payer healthcare in the U.S. has been circulating for decades ‒ and states like Vermont have tried recently to implement their own version ‒ but failed. At the time of its defeat, Vermont Governor Peter Shumlin put the...
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November 9, 2015 | Washington Post
Every time JoAnna James took her husband, Lawrence, to the doctor, she left the hospital without understanding what was wrong with him. “You ask (doctors) to break it down so you can understand what they are saying and they make you feel...
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November 4, 2015 | Kaiser Health News
It’s a program set up by the federal health law that many people have never heard about: an independent organization charged with bringing health care professionals and patients together in cooperative research ventures to find the best...
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November 4, 2015 | News Medical
It's a question of major importance to parents, health policy makers and health care professionals — and a focus of national health care quality improvement initiatives. What keeps children from being readmitted to hospitals in the weeks...
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October 29, 2015 | Blue Cross Blue Shield of Louisiana
More customers are getting better health results through Blue Cross and Blue Shield of Louisiana’s Quality Blue Primary Care program – designed to focus care on the patient, give primary care doctors better data and hold down costs. Blue...
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October 27, 2015 | HealthIT Analytics
With the healthcare industry changing in a thousand different ways all at once, it’s often difficult for organizations to find an entry point into long-term strategic initiatives like population health management and accountable care....
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October 27, 2015 | Blue Cross Blue Shield Association
Blue Cross Blue Shield Association (BCBSA) today announced the creation of Blue Distinction Total Care (Total Care), the industry’s largest national network of patient-focused care programs that shift from the fee-for-service model—which...
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October 27, 2015 | Pharmacy Times
When the Institute of Medicine (IOM) released its landmark 2001 “Crossing the Quality Chasm” report, it called for providers to support continuous healing relationships” with their patients. Although we have seen some progress through the...
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October 26, 2015 | Kaiser Health News
Month after month, Natalia Pedroza showed up at the doctor’s office with uncontrolled diabetes and high blood pressure. Her medications never seemed to work, and she kept returning to the emergency room in crisis. Walfred Lopez, a Los...
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October 23, 2015 | Health Affairs Blog
By 2017, the Department of Health and Human Services wants 85 percent of traditional Medicare reimbursements to be based on quality or value, with 30 percent of payments reimbursed through alternative payment models like Accountable Care...
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