New October Health Wonk Review at Managed Care Matters
Joe Paduda posted has posted Halloween HealthWonkReview! at Managed Care Matters. (Source: Health Wonk Review)
Source: Health Wonk Review - October 18, 2018 Category: Health Management Source Type: blogs
Hoarding Patient Data is a Lousy Business Strategy: 7 Reasons Why
Conclusion
The bases of competition in healthcare are shifting – away from competing based on misguided attempts to lock-in patients and providers – and toward competing based on providing care that’s high quality, low cost, and a superior patient experience.
Sometimes conventional wisdom goes stale…or was never wise in the first place.
Vince Kuraitis, JD/MBA (@VinceKuraitis) is an independent healthcare consultant with over 30 years’ experience across 150+ healthcare organizations.
Leslie Kelly Hall (@lesliekellyhall) is a nationally recognized leader in patient engagement advocating for patients in health IT ...
Source: The Health Care Blog - October 17, 2018 Category: Consumer Health News Authors: matthew holt Tags: Data Patients Tech health information exchange HealthIT HIE HIPAA hoarding Information Blocking interop Interoperability patient engagement patient loyalty primary care referral leakage strategy value-based care Source Type: blogs
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Medicaid depends on managed care. In 2016, more than 65 million Medicaid beneficiaries — about 80 percent — were enrolled in managed care. In an effort to ensure Medicaid managed care beneficiaries have appropriate access to health services, the Centers for Medicare and Medicaid Services issued updated federal regulations for Medicaid managed care in 2016, key elements of which took effect in plan years beginning in July 2018.
(Source: The Commonwealth Fund: Blog)
Source: The Commonwealth Fund: Blog - October 10, 2018 Category: International Medicine & Public Health Authors: Sara Rosenbaum, Sara Schmucker, J. Zo ë Beckerman Source Type: blogs
A physician celebrates 15 years in concierge medicine
I practiced general internal medicine from June 1979 until November 2003. Immediately after training, I became an employed physician of an older internist covering my employer’s patients and building my practice for two years before embarking on my own.
I saw 20 or more patients per day in addition to providing hospital care and visiting patients as they recovered in nursing homes. As managed care made its clout felt by kidnapping our patient’s and trying to sell them back to us at 50 cents on the dollar, I helped form a 44 doctor multi-specialty group with its own lab, imaging center and after-hours walk-in center. Th...
Source: Kevin, M.D. - Medical Weblog - October 3, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/steven-reznick" rel="tag" > Steven Reznick, MD < /a > Tags: Physician Primary Care Source Type: blogs
Health Wonk Review - upcoming hosts
2018 Schedule
October 18 - Joe Paduda, Managed Care Matters
November 15 - Lisa Lines, The Medical Care Blog
December 13 - TBA (Source: Health Wonk Review)
Source: Health Wonk Review - September 27, 2018 Category: Health Management Source Type: blogs
‘ Fear, paranoia, and pressure ’ : Challenges to Accessing Medication-Assisted Treatment for Opioid Addiction
Barriers to access to medication-assisted treatment (MAT) threaten addiction recovery and complicate the safety of clinicians’ jobs, thereby hindering the national response to the opioid epidemic.
MAT is a treatment approach that combines medications with counseling and behavioral therapies to treat substance use disorders. Medications used in MAT are FDA-approved and clinically-driven; however, several MAT access issues create obstacles to achieving its full success in mitigating the opioid epidemic. Insurance access and coverage, geography/location, treatment cost, and drug policy emerge as the most formidable pain po...
Source: World of Psychology - September 19, 2018 Category: Psychiatry & Psychology Authors: Marina Shayevich Tags: Addiction Policy and Advocacy Psychology Psychotherapy Recovery Research Substance Abuse Treatment medication-assisted treatment opioid addiction opioid crisis Prescription Drug Addiction Source Type: blogs
Attention PCP colleagues: We can do better with referrals
How many physicians know how many visits they are approving when referring to a specialist?
This was a germane question posed to me today. I first asked this question of myself as a junior faculty member, while busting the residents’ chops over the egregious numbers of referral visits they were approving. You see, as any good resident knows, being proactive in the referral department demonstrates skill in the art of “avoiding being bothered with repeated requests for *#%!. This is a skill that one either develops or does not, the latter being associated with career-long anguish. However, in my residency program (circa ...
Source: Kevin, M.D. - Medical Weblog - September 17, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/thomas-gragnola" rel="tag" > Thomas Gragnola < /a > Tags: Physician Practice Management Primary Care Source Type: blogs
Health Wonk Review Archives: 2006-2018
November 15, 2018 - Lisa Lines - The Medical Care Blog
October 18, 2018 - Joe Paduda, Managed Care Matters
September 27, 2018 - Andrew Sprung - xpostfactoid
August 23, 2018 - Julie Ferguson at Workers Comp Insider
July 12, 2018 - Peggy Salvatore at Health System Ed
June 14, 2018 - Hank Stern at InsureBlog
May 17, 2018 - Jason Shafrin Healthcare Economist
April 19, 2018 - Louise Norris - Colorado Health Insurance Insider
March 15, 2018 - David Williams - Health Business Blog
February 15, 2018 - Steve Anderson - HealthInsurance.org blog
January 18, 2018 - Joe Paduda, Managed Care Matters
December 14, 2017 - Juli...
Source: Health Wonk Review - September 1, 2018 Category: Health Management Source Type: blogs
Another Study That Shows The myHR Is Not Going To Make The Difference We Need.
This study appeared last week:CDS alerts in hospital EHR reduce costs, improve outcomes By Greg SlabodkinPublished August 17 2018, 7:33am EDTA new study finds that clinical decision support alerts embedded into a hospital records system have improved patient health and financial outcomes.Researchers at Cedars-Sinai Medical Center say the results show the positive effects of leveraging Choosing Wisely recommendations. An article on the study was published this week in the American Journal of Managed Care.For the study, Cedars-Sinai evaluated the 18 highest-volume Choosing Wisely alerts integrated into its Epic EHR. The obse...
Source: Australian Health Information Technology - August 24, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
Health Wonk Review - upcoming hosts
2018 Schedule
September 20 - Andrew Sprung - xpostfactoid
October 18 - Joe Paduda, Managed Care Matters
November 15 - Lisa Lines, The Medical Care Blog
December 13 - TBA (Source: Health Wonk Review)
Source: Health Wonk Review - August 23, 2018 Category: Health Management Source Type: blogs
Ohio Medicaid Department Directed to Quit Its PBM Contracts
It seems like this has been a long time coming but at least one set of state officials is taking action regarding the excess profits and business model of their pharmacy benefit managers (PBMs) (see: Ohio Medicaid to try out transparent PBM pricing model). Below are some details from the article:Ohio's Medicaid department is directing its managed-care organizations to quit their contracts with pharmacy benefit managers because of opaque pricing practices officials said cost the state millions of dollars. The state's five managed-care plans must strike up new contracts with companies able to manage pharmacy se...
Source: Lab Soft News - August 17, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Cost of Healthcare Healthcare Business Healthcare Insurance Medical Consumerism Medical Ethics Source Type: blogs
