CMS Releases Proposed Rule Expanding Health Data Interoperability Requirements For Payers
CMS has released a proposed rule that will require Medicaid managed care plans and other insurers offering products on the ACA Exchanges to support the sharing of patient data amongst themselves. The announcement follows the release of the Interoperability and Patient Access final rule in July, which requires all health plans doing business with the […] (Source: EMR and HIPAA)
Source: EMR and HIPAA - December 22, 2020 Category: Information Technology Authors: Anne Zieger Tags: Clinical EMR-EHR Health IT Company Healthcare IT Hospital - Health System Regulations Blue Button 2.0 CMS FHIR API Health Data Interoperability Health Data Sharing HL7 FHIR Information Blocking Medicaid Managed Care Medicare Source Type: blogs
Diameter Health Closes $18M Series B to Accelerate Vision to Improve Health Data Interoperability
Diameter Health, a fast-growing leader in health data interoperability, has announced that it raised $18 million in a Series B funding round led by managed care organization Centene Corporation, with participation from existing investors Optum Ventures, LRVHealth, Connecticut Innovations and Activate Venture Partners. This brings Diameter Health’s total funding to $30 million. “We are thrilled […] (Source: EMR and HIPAA)
Source: EMR and HIPAA - December 17, 2020 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT Activate Venture Partners Centene Corporation Connecticut Innovations Diameter Health Eric Rosow Health IT Funding Healthcare Interoperability Healthcare Investment LRVHealth Mark Brooks Mike Cunning Source Type: blogs
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Last week the Centers for Medicare and Medicaid Services unveiled a new care model, called Medicare Geographic Contracting, or “Geo” which will enroll Medicare beneficiaries into a managed care-like plan.
(Source: The Commonwealth Fund: Blog)
Source: The Commonwealth Fund: Blog - December 15, 2020 Category: International Medicine & Public Health Authors: Gretchen Jacobson, Elizabeth Fowler, Melinda K. Abrams Source Type: blogs
Therapist or Patient: Who ’ s in Charge?
Let’s talk about psychotherapy. Why hasn’t it changed much in the last century? And if a patient isn’t getting well, is it the fault of the patient, the therapist or the therapy itself? In today’s podcast, Gabe and psychologist Barry L. Duncan discuss the idea of holding therapists more accountable when the patient isn’t getting better.
Join us for a great discussion that sheds new light on how we should be treating mental health issues.
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Guest information for ‘Barry L. Duncan- Therapist or Patient’ Podcast Episode
Barry L. Duncan, Psy.D. . is CEO of Better Outcomes Now and ...
Source: World of Psychology - October 29, 2020 Category: Psychiatry & Psychology Authors: The Psych Central Podcast Tags: General Interview Psychotherapy The Psych Central Show Treatment Source Type: blogs
Value-based care – no progress since 1997?
By MATTHEW HOLT
Humana is out with a report saying that its Medicare Advantage members who are covered by value-based care (VBC) arrangements do better and cost less than either their Medicare Advantage members who aren’t or people in regular Medicare FFS. To us wonks this is motherhood, apple pie, etc, particularly as proportionately Humana is the insurer that relies the most on Medicare Advantage for its business and has one of the larger publicity machines behind its innovation group. Not to mention Humana has decent slugs of ownership of at-home doctors group Heal and the now publiciy-traded capitated medical ...
Source: The Health Care Blog - October 12, 2020 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Value-Based Care Humana Matthew Holt Source Type: blogs
" It's the Rx rebates, stupid! "
Although mylast post addressed one realistic solution to an embedded problem in the U.S. healthcare system related to prescriptions of life-sustaining essentials like insulin (which isn ' t a NEW drug; it was discovered in 1921), the problem has never really been explained which is necessary when interacting with lawmakers about potential legislative solutions to the problem of runaway insulin prices. So, this post aims to be an explainer. Insulin is today a prescription medicine (it used to be OTC) and there are only a handful of manufacturers worldwide. That is the root of the problem, but not due to a lack of competitio...
Source: Scott's Web Log - September 29, 2020 Category: Endocrinology Tags: Food and Drug Administration Drug Channels FDA insulin legislation price caps price-caps rebate reform rebates Source Type: blogs
" It's the Rx rebates, stupid! "
Although mylast post addressed one realistic solution to an embedded problem in the U.S. healthcare system related to prescriptions of life-sustaining essentials like insulin (which isn ' t a NEW drug; it was discovered in 1921), the problem has never really been explained which is necessary when interacting with lawmakers about potential legislative solutions to the problem of runaway insulin prices. So, this post aims to be an explainer. Insulin is today a prescription medicine (it used to be OTC, and early-generations still are, but with the advent of analog insulin, the drug companies persuaded the FDA to reclassi...
Source: Scott's Web Log - September 29, 2020 Category: Endocrinology Tags: Food and Drug Administration Drug Channels FDA insulin legislation price caps price-caps rebate reform rebates Source Type: blogs
Podcast: Can Mental Patients Also Be Experts?
Who do you think understands more about bipolar disorder: a psychiatrist or a patient with the illness? In this Not Crazy podcast, we discuss whether a patient can be considered a mental health expert without all the credentials after their name. Today we invite writer and bipolar advocate Natasha Tracy — who also has bipolar disorder — to the show to give her opinion.
Would you seek advice from a patient? Join us for an in-depth discussion on mental health patients as experts.
(Transcript Available Below)
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And Please Remember to Rate & Review Us!
Guest Information for ̵...
Source: World of Psychology - September 29, 2020 Category: Psychiatry & Psychology Authors: Not Crazy Podcast Tags: General Interview Not Crazy Podcast Policy and Advocacy Source Type: blogs
Can Mental Patients Also Be Experts?
Who do you think understands more about bipolar disorder: a psychiatrist or a patient with the illness? In this Not Crazy podcast, we discuss whether a patient can be considered a mental health expert without all the credentials after their name. Today we invite writer and bipolar advocate Natasha Tracy — who also has bipolar disorder — to the show to give her opinion.
Would you seek advice from a patient? Join us for an in-depth discussion on mental health patients as experts.
(Transcript Available Below)
Subscribe to Our Show!
And Please Remember to Rate & Review Us!
Guest Information for ̵...
Source: World of Psychology - September 29, 2020 Category: Psychiatry & Psychology Authors: Not Crazy Podcast Tags: General Interview Not Crazy Podcast Policy and Advocacy Source Type: blogs
To Avoid Pay Cuts, Doctors Must Reduce Waste
By KEN TERRY
(This is the fifth in a series of excerpts from Terry’s new book, Physician-Led Healthcare Reform: a New Approach to Medicare for All, published by the American Association for Physician Leadership.)
Real healthcare reform depends on an effective plan to reduce cost growth. To achieve this goal, it makes a whole lot more sense to cut waste than to limit access to necessary services or slash provider payments to the bone, noted Donald Berwick, MD, a former acting CMS administrator, and Andrew D. Hackbarth, a RAND Corp. researcher, in a 2012 JAMA article. In their telling, a significant reduction in wast...
Source: The Health Care Blog - September 9, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy healthcare reform Ken Terry Source Type: blogs
Health Insurers Ride High for Now, But Watch What ’s Coming Next
By KEN TERRY
In the strangest healthcare business story of 2020, the major health insurance companies are thriving despite—or because of—the pandemic. As the second quarter reports of United, Anthem, Cigna and other insurers reveal, their COVID-19-related costs were outweighed by the sharp drop in claims for other healthcare services.
As a result, the second quarter operating gain for Anthem, one of the largest national carriers, jumped 65% from the prior-year period, while the portion of its premiums spent on member benefits dropped to 78%. The earnings of UnitedHealth, similarly, vaulted 98% as the percenta...
Source: The Health Care Blog - August 18, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Health insurance Ken Terry Source Type: blogs
Magellan Health is testing biofeedback videogame Mightier to help children better self-regulate stress and behavioral health
Magellan Health piloting Mightier’s video game platform for emotional regulation training (MobiHealthNews):
Scottsdale, Arizona-based Magellan Health announced today that it has launched a pilot of Boston Children’s Hospital spin-out Neuromotion Labs’ Mightier, a biofeedback video game platform designed to help children regulate their emotions.
Since June 22, the managed care company has begun supplying members with autism or other behavioral health conditions a Mightier tablet carrying 25 games that require the player’s focus. This is paired with a heart rate-monitor wearable that monitors members’ natural reac...
Source: SharpBrains - July 29, 2020 Category: Neuroscience Authors: SharpBrains Tags: Education & Lifelong Learning Health & Wellness Peak Performance Professional Development Technology autism Behavioral Health biofeedback biofeedback video game heart rate-monitor Magellan Health Mightier Neuromotion Labs regulat Source Type: blogs
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The actions states are taking to strengthen managed care during the crisis and the reforms they’re enacting to comply with new federal requirements under the Families First Coronavirus Response Act.
(Source: The Commonwealth Fund: Blog)
Source: The Commonwealth Fund: Blog - July 23, 2020 Category: International Medicine & Public Health Authors: Sara Rosenbaum, Maria Velasquez Source Type: blogs
How to Responsibly Consider Committing to Psychiatric Medication
Watching TV throughout the week, you can be inundated by pharmacological commercials. One for a recently identified condition, Tardive Dyskinesia, may pique your attention. What is TD? Shaking and tremors that are the result of decades long use of antipsychotic medications. Such medications prescribed since the 1960s can cause TD, a condition potentially treatable by taking a supplemental medication.
Few, if any, longitudinal studies of the adverse effects of these drugs exist. It is only recently that we have begun to record the unforeseen effects of continued use of many psychiatric medications — from tremors t...
Source: World of Psychology - June 19, 2020 Category: Psychiatry & Psychology Authors: Colleen Donnelly Tags: Antipsychotic Medications Antipsychotics Pharmaceutical Advertising psychopharmaceuticals tardive dyskinesia Source Type: blogs
Competing Health Systems Come Together To Solve Mutual Problems
In most big cities, there are several competing systems that battle for patients and managed care contracts. Ordinarily, these systems would be loathe to let their guard down and work together. In Philadephia, however, competitors have come together to solve some difficult problems that affect them all. One participant in the group is Joel Betesh, […] (Source: EMR and HIPAA)
Source: EMR and HIPAA - June 12, 2020 Category: Information Technology Authors: Anne Zieger Tags: C-Suite Leadership Clinical EMR-EHR Health IT Company Healthcare IT Hospital - Health System IT Infrastructure and Dev Ops Direct Hospital CIO Hospital CMIO Hospital Competion Hospital Data Sharing Hospital Pharmacy Joel Betesh Source Type: blogs
