Authors
Latest:
Contributor: Institutional Engagement With Physicians Is Key to Managing Cost and QualityAlthough physicians’ clinical decisions serve as the biggest drivers behind the cost of care, hospitals have long been reluctant to take financial accountability. If such accountability is to be transformed from a diffuse fear to a manageable managerial task, institutional engagement with physicians will be a critical next step.
Latest:
Contributor: Solving the US Physician Diversity ProblemThe representation of Black physicians is alarmingly low, but the opportunities for change are possible and urgent. Health care leaders and human resource departments need to address these disparities, and increasing diversity among their workforce is an excellent place to begin.
Latest:
Telepsychiatry Trends to Expect in 2019As healthcare closes the book on 2018, here are trends and changes the industry can expect to see on the telepsychiatry front in 2019.
Latest:
CAQH CORE Certification Impact: Simplifying PayerThe Council for Affordable Quality Health Committee on Operating Rules for Information Exchange is making great strides in certifying health plans for implementing electronic information exchange between payers and providers. The good news for providers is that very little is required of them to reap the benefits of these certification efforts.
Latest:
Impossible Math: Financing a Freestanding Birth Center and Supporting Health EquityBirths in freestanding birth centers are increasing, and the number of birth centers is increasing, as well, but capacity is not keeping up with demand. Freestanding birth centers provide many of the same services that are provided for low-risk pregnancies in hospitals, and there is evidence of equivalent or better outcomes of care both here in the United States and in abroad. Yet, freestanding birth centers are paid less than hospitals for doing the same work.
Latest:
MACRA Continues to Catalyze Movement Towards ValueGiven that 2018 marks the last year of the transition-year policies, implementation challenges identified during the first 2 years of Medicare Access and CHIP Reauthorization Act (MACRA) preparation and execution must be addressed to ensure effective delivery of high-value care as intended.
Latest:
Lessons From a 25-Year Study of Type 1 DiabetesFrom funding innovative research to advocating for government action to providing a support structure for our community, no other organization does more to fight type 1 diabetes (T1D) than JDRF.
Latest:
Grassroots Public Health Management in Managed CareCommunity coalitions are a backbone of public health, and offer a unique perspective towards implementation of managed care disease management/case management programs.
Latest:
Successful Interventions, Positive Outcomes: Understanding the Impact of Social Determinants of HealthAlthough it’s difficult to generalize the impact of social determinants of health, addressing them is fundamental to improving overall healthcare quality for member populations.
Latest:
Increasing the Longevity of Accountability, Designing Cooperative Models, and Transferring Risk Across a Lifetime of Accountable CareTo achieve longer accountable relationships, a bridge from one insurer to another could be built through continuity of accountability amid insurance transitions, improved risk prediction, and cooperation in the design of accountable care models.
Latest:
New MIPS Improvement Activity Supports Remote Patient MonitoringDespite growth in the market, CMS has been slow to recognize the value that telehealth can bring to clinical encounters by encouraging utilization of telehealth technology through reimbursement models. However, now CMS has taken steps to encourage practices to leverage telehealth and remote monitoring activities through changes to the Quality Payment Program.
Latest:
Contributor: How Payers Can Be Effective in New Value-Based Models for CKDThe author discusses how value-based payment models in chronic kidney disease can improve total cost and quality of care for patienst with chronic kidney disease (CKD).
Latest:
Modernizing the Stark Law Will Improve Care for Medicare Patients and Lower CostsCurbs on physician self-referrals in Medicare may have made sense in a fee-for-service environment, but they present significant barriers to payment reform as the nation moves to value-based models.
Latest:
The Oncology Care Model: What to Expect in the First Data FeedEight months into the Oncology Care Model, find out what participants can expect from the first performance data feed released later this month.
Latest:
Advancing the Wave of Democratization of Cancer CareDemocratizing the complex field of cancer care is not easy. We are providing patients with key information that their own cancer is unique and needs to be treated as such, but there is a great deal of work to be done in putting that knowledge to work.
Latest:
Patients, Pain, and Access to OpioidsIs limiting or discontinuing opioid use in clinical care the answer to addressing the opioid epidemic?
Latest:
The Goldilocks Principle: A Personalized Breast Cancer Treatment That Is "Just Right" for YouMolly MacDonald, the founder and CEO of The Pink Fund, writes about how patients with breast cancer can approach decisions about choosing among disparate treatment protocols.
Latest:
MACRA Bonus Article 2: Patient Engagement Strategies for Hospital Value-Based Purchasing ProgramsThe VBP program contains a variety of measures used to determine payment increases or penalties as shown below.
Latest:
How to Talk to Older Women About Their Alcohol UseAccording to USC Department of Nursing Professor Benita Jean Walton-Moss, PhD, alcohol abuse is often underdiagnosed and undertreated in older women because it is often mistaken for other conditions related to aging. Her research emphasizes the importance of identifying social determinants that may increase patients' risk of alcohol misuse, and outlines a thoughtful approach when screening female patients as a medical professional or caregiver.
Latest:
Driving Value With Innovative Approaches to Colon Cancer ScreeningAlthough national guidelines call for men and women at average risk for colorectal cancer (CRC) to begin screening for the disease at age 50, by some estimates, compliance is a mere 38%.
Latest:
New Hope for IgA Nephropathy With Atrasentan Approval: Richard Lafayette, MD, FACPRichard Lafayette, MD, FACP, Stanford University Medical Center, explains the significance of this second approval in a month for proteinuria reduction.
Latest:
Glucose-Lowering Treatment Patterns in Patients With Diabetic Kidney DiseaseReal-world treatment of diabetic kidney disease in the United States, based on national-level health care claims and electronic health records data, is inconsistent with the current guidelines.
Latest:
End-of-Life Values and Value-Based CareAn editorial in response to the editor in chief’s December 2021 letter discusses evidence supporting the cost-effectiveness of an innovative advance care planning initiative.
Latest:
Contributor: In the Shift to Value, We Can’t Afford to Leave Radiology BehindRadiology needs to be more effectively incorporated into value-based care in order for patients to receive quality treatment for various conditions.
