Katie Sullivan

Accountable and patient-centered care delivery models were at the forefront of discussions among coalition members.

Healthcare stakeholders shared their thoughts and experiences regarding the opportunities and challenges of the healthcare industry under the Affordable Care Act.

The concept of clinical nuance-among others-is highlighted at the University of Michigan Center for Value-Based Insurance Design's annual Summit.

Open enrollment for the 2014 state and federal health insurance exchanges will end this month, but various findings contest their anticipated success.

Health policy advisors and advocates are shifting their focus to the possibilities of telehealth, which would allow physicians to treat patients virtually. Health experts suggest that this emerging health frontier could be promising, especially for patients who are immobilized or who live in remote locations.

Those with chronic illnesses such as leukemia, hepatitis C, and multiple sclerosis may face a significant increase in their out-of-pocket expenses for specialty drugs. This is because payers are replacing fixed-dollar copayments with coinsurance rates that require patients to contribute a higher percentage of the cost for their specialty medications.

When it comes managing the long-term care of dual eligibles, many health systems are looking toward managed long-term supports and services (MLTSS). Unlike traditional Medicare and Medicaid, MLTSS would expand managed healthcare medical services to include personal support and other assistance.

Session highlights from the Managed Markets Summit in Orlando, FL, February 25-27.

Session highlights from the Managed Markets Summit in Orlando, FL, February 25-27.

CMS intends to implement a 1.9% rate reduction in payment rates for Medicare Advantage plans in 2015. Some payers fear that number may increase as fees associated with the Affordable Care Act (ACA), as well as other policy changes, also begin to impact physician reimbursement.

Nationwide, health systems, including hospitals and accountable care organizations (ACOs), are increasingly expanding their provider networks to include more physician groups.

A 4-year study assessing the impact of early outpatient palliative care versus standard oncology care in a variety of advanced cancers found promising results. The researchers observed that when palliative care teams collaborated earlier in the course of illness, it improved patients' quality of life and satisfaction.

Belgian cancer testing group MDxHealth recently announced an agreement with US health organization Prime Health Services to extend access to its prostate cancer test to 144 million insured people. MDxHealth suggests that collaboration will permit faster reimbursement for cancer testing.

Arkansas' compromise to renew its Medicaid expansion plan was rejected by the state House of Representatives in a 70-27 vote. With nearly 90,000 low-come individuals enrolled in the plan, failure to re-launch the program raises questions about its future in the state.

To improve care, policy analysts and health leaders recommend there be fewer and narrower quality measures.

Researchers from the Johns Hopkins Sidney Kimmel Comprehensive Cancer Center in Baltimore suggest that controlling the costs to treat cancer without increasing risk to patients requires a collaborative approach.

New research offers high-quality, empirical data on the V-BID plan features that appear most effective for stimulating greater medication adherence.

Current reform efforts seek to tie providers' pay with performance, yet a recent finding suggests that less than 15% of internal medicine residency programs provide education that focuses on such training.

The value of the mammogram is being questioned after 1 study found that the mortality rates resulting from breast cancer were the same in women who got screened and those who did not.

Select employers will have until January 1, 2016, to comply with a health insurance mandate under the Affordable Care Act(ACA). Originally, employers with 50 to 99 workers would have faced a penalty if they did not offer health insurance to their employees in 2014.

Susan Fox, director, business and product development, US Script, Inc, says the prescription benefit provides a unique opportunity to attract, attain, serve, and retain members in exchange insurance plans

A bipartisan agreement has been reached regarding the sustainable growth rate (SGR) and Medicare reimbursement model.

This week AJMC is covering session highlights from the PBMI Annual Drug Benefit conference.

This week AJMC is covering session highlights from the PBMI Annual Drug Benefit conference.

This week AJMC is covering session highlights from the PBMI Annual Drug Benefit conference.

The Centers for Medicare & Medicaid Services (CMS) reports that accountable care organizations (ACOs) that participated in its Shared Savings program during 2012 saved $380 million in health spending. However, more than half of the 114 participating organizations did not produce any savings.

While expensive hospitals might earn a better reputation, there is little evidence that they provide better care.

Barack Obama used the State of the Union address as an opportunity to advise uninsured Americans about enrolling for exchange coverage before the March deadline-avoiding the more sensitive topics of problems with the Healthcare.gov website and cancelled insurance plans.

The Basic Health Plan (BHP) may have counterproductive results.

There is a radical and bipartisan bill making its way to Congress that could change the future of Medicare.