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July 30, 2015 | CareFirst Blue Cross Blue Shield
Baltimore, MD (July 30, 2015) - In its fourth full year of operation, CareFirst BlueCross BlueShield’s (CareFirst) Patient-Centered Medical Home (PCMH) program continues to show dramatic impacts on overall medical spending and key health...
July 30, 2015 | The Baltimore Sun
A program launched in 2011 by the state's largest health insurer to better coordinate patient care has slowed its overall pace of spending, avoiding millions in costs for the health system and the insured, CareFirst Blue Cross BlueShield...
July 29, 2015 | Modern Healthcare
As expected, the CMS' sweeping rule to modernize the regulation of Medicaid managed-care plans is drawing flak from state Medicaid directors and insurers who say it would impose heavy-handed federal control and could hurt patient care....
July 28, 2015 | mHealth Intelligence
Mobile health apps, wearable devices, and remote patient monitoring tools all provide superior avenues for meeting the goals of patient engagement. Ever since the HITECH Act was passed in 2009 and meaningful use requirements began...
July 28, 2015 | HealthIT Analytics
The patient-centered medical home, a hands-on practice of primary care which emphasizes doctor-patient relationships and patient engagement, is of growing popularity among healthcare organizations. A form of accountable care, the patient-...
July 28, 2015 | HealthIT Analytics
The patient-centered medical home (PCMH) is often lauded as one of the most effective frameworks for practice transformation. Integrating health IT and data analytics with population health management and care coordination strategies, the...
July 28, 2015 | MedCity News
While countless online practice-improvement resources exist, there is an acute need for help in safety-net primary care, especially as the U.S. healthcare industry slowly shifts away from fee-for-service to outcomes-based care.
That is...
July 27, 2015 | Kaiser Health News
A $57 million experiment to deliver better, more efficient care at federally funded health centers struggled to meet its goals and is unlikely to save money, says a new government report.
The test to coordinate treatment for high-risk...
July 27, 2015 | Kaiser Health News
Medicare, the federal health insurance program for the elderly and disabled, has come a long way since its creation in 1965 when nearly half of all seniors were uninsured. Now the program covers 55 million people, providing insurance to...
July 24, 2015 | Modern Healthcare
Anthem will acquire Cigna for $188 per share, the health insurance companies announced Friday. The deal, including Cigna's debt, will be worth $54.2 billion. It is the largest-ever health insurance transaction, and part of the mass-scale...
July 23, 2015 | Forbes
On Wednesday, the Social Security and Medicare Trustees reports were released for 2015.
On the Medicare side, the report confirms a score that the Center for Medicare Services (CMS) released back in the spring of 2015 when Congress was...
July 23, 2015 | Modern Healthcare
The Senate Health, Education, Labor and Pensions Committee is asking to delay Stage 3 meaningful-use rules, its chairman, Lamar Alexander (R-Tenn.), said during a news conference Thursday.
This will be one of several recommendations his...
July 22, 2015 | Health Affairs Blog
Effectively managing a chronic health condition involves a myriad of tasks for anyone, ranging from scheduling and getting to frequent doctor appointments to regularly taking and refilling numerous medications and eating a healthy diet....
July 22, 2015 | Healthcare Payer News
Primary care incentives for ACOs may not be strong enough to accomplish the goals of improving patient experiences, population health and high costs.
“Although practices in ACOs provide higher compensation for quality, compared with...
July 21, 2015 | Kaiser Health News
Until recently, John Henry Foster, an equipment distribution firm based in Eagan, Minn., offered its employees only a couple of health plans to choose from. That’s common in companies across America.
“They just presented what we got,”...
July 21, 2015 | AAFP News
July 21, 2015 01:41 pm Michael Laff – A recent study that examined a medical home initiative in northeastern Pennsylvania revealed that with the appropriate blend of financial incentives and clear targets for success, the model can reduce...
July 18, 2015 | Modern Healthcare
Cardiologist Dr. Edward Fry recalls making one-sixth as much as top earners in his field when he began practicing medicine in 1990.
Today, he says, beginning cardiologists typically start out earning as much as two-thirds the salary of a...
July 17, 2015 | HealthIT Analytics
Accountable care organizations (ACOs) have exploded in popularity over the past three or four years as value-based reimbursement takes hold in the healthcare industry, and their work has rapidly built momentum towards bringing population...
July 16, 2015 | ReedSmith
On July 15, 2015, the Centers for Medicare & Medicaid Services (CMS) published its proposed rule to update the Medicare physician fee schedule (MPFS) for CY 2016 – the first rulemaking since the Medicare Access and CHIP Reauthorization...
July 15, 2015 | Health Affairs Blog
Oregon’s Coordinated Care Organizations (CCOs) are a type of accountable care organization (ACO); these multi-sector partnerships accept upside and downside risk for both health care costs and quality metrics. And yet CCOs deviate from the...
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