Health Care Delivery

Reactions to the $8 billion amendment introduced by Rep. Fred Upton (R-MI) that helped seek Republican support for the American Health Care Act in the Senate.

The current form of the American Health Care Act would greatly impact patients in New Orleans, where a high percentage of people have chronic diseases that count as preexisting conditions, explained Michael Griffin, president and CEO of Daughters of Charity Services.

The Affordable Care Act replacement, the American Health Care Act, now heads to the Senate. Floor debate portrayed vastly different world views: one of a collapsing individual market where patients face rising out-of-pocket costs, and another in which those with serious chronic illnesses could return to the days of untouchable premiums.

According to a new study, socioeconomic disparities in mammography rates among Medicare beneficiaries decreased after the implementation of the Affordable Care Act (ACA), but the same pattern was not observed for colonoscopies.

Lawmakers averted the looming threat of a government shutdown when they forged a bipartisan deal to fund the government for the rest of the fiscal year, which ends October 2017. The agreement includes substantial funding boosts for key health initiatives.

Susan A. Cantrell, RPh, CAE, CEO of the Academy of Managed Care Pharmacy (AMCP), discusses the biggest concerns and opportunities facing members of AMCP during this time of legislative and regulatory uncertainty and rising costs in healthcare.

Negotiations among House Republicans have led to a compromise that would amend the American Health Care Act and the Association of Community Cancer Centers (ACCC) is concerned the amendment would undermine patient protections that are important for people with cancer, said Leah Ralph, director of health Policy at ACCC.

Saturday marks the 100th day of Donald Trump’s presidency, and closes out the time period during which a president’s power and influence are supposed to be greatest. As a result, the first 100 days are used to measure the successes and accomplishments of a new president.

In the first 100 days of his administration, President Donald J. Trump has taken a number of actions that could impact healthcare, including filling a Supreme Court seat and taking steps to repeal the Affordable Care Act. Here's a look back at some of the most notable healthcare-related happenings in Trump's first 100 days in office.

When the ACO & Emerging Healthcare Delivery Coalition® meets May 4-5 in Scottsdale, Arizona, attendees will learn the latest on healthcare reform, best practices for cybersecurity, population health strategies, and more.

Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast.

This week, the top managed care stories included a new rule from CMS to end abuse on the Affordable Care Act insurance exchanges; a study that indicates type 2 diabetes may possibly be reversed; and CareMore unveils a new care model that takes place in the dentist's chair.

Despite the wide variety of rare diseases out there, children and families living with rare disease have one thing in common: they experience diagnostic delays. A new study in Orphanet Journal of Rare Diseases described experiences of seeking and receiving a diagnosis of a rare disease and access to healthcare.

A dive into the Quality Payment Program and other healthcare reform models introduced in cancer care that healthcare providers are adjusting to as we move toward value-based care.

By identifying ways to improve cancer care and then designing alternative payment models (APMs) to overcome current payment barriers, APMs can enable oncology practices to deliver better care to patients and save money for payers in a way that is financially sustainable for the practices.

The steps taken at CMS seek to curb adverse selection, when consumers wait until they have a health problem to sign up for coverage, then cancel after they receive treatment.

Several polls released this week show that Americans’ opinions of the Affordable Care Act (ACA) are steadily becoming more positive, as approval of the law has topped 50% for the first time amidst unsuccessful efforts to repeal and replace it.

A poll conducted by PatientsLikeMe shows that cancer patients have the same concerns as the general population about healthcare costs, but see benefits in the law that the healthy may have overlooked.

Panelists, during a session on value and value-based reimbursement at the Academy of Managed Care Pharmacy Annual Meeting, held March 27-30 in Denver, Colorado, discussed the benefits and challenges of value-based contracting and the current and evolving use of value frameworks.