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Improving the Care of Dual Eligible Patients in Rural Federally Qualified Health Centers: The Impact of Care Coordinators and Clinical Pharmacists.
CONCLUSIONS: A modest investment in care coordination and clinical pharmacy review can produce significant reductions in hospitalization and harmful polypharmacy for community dwelling dual eligible patients.
PMID: 26582045 [PubMed - as supplied by publisher]
Source: Primary Care - November 18, 2015 Category: Primary Care Authors: Doyle D, Emmett M, Crist A, Robinson C, Grome M Tags: J Prim Care Community Health Source Type: research
Factors Associated With Seeking Physician Care by Medicare Beneficiaries Who Receive All Their Primary Care From Nurse Practitioners.
CONCLUSIONS: About half of Medicare patients under exclusive NP primary care switched to physicians for some or all primary care over a 3-year period. Future study is needed to understand the reasons for switching.
PMID: 27456894 [PubMed - as supplied by publisher]
Source: Primary Care - July 24, 2016 Category: Primary Care Authors: Raji MY, Chen NW, Raji M, Kuo YF Tags: J Prim Care Community Health Source Type: research
Round Up No Suspects: the Bio Telemetry Settlement Demonstrates the Continuing Impunity of Health Care Organizational (and Other) Leaders
Themarch of legal settlements by important health care organizations continues, although now producing barely an additional ripple on top of the white-capped covered ocean of news and commentary roiled by the recent US election. However, even the latest small settlement is a reminder of all the problems that continue under the surface. (And I have now beaten this metaphor to death, sorry.)The SettlementAs reported very brieflyin NJ.com:A company that monitors cardiac devices worn by heart patients has agreed topay $1.3 million in civil fines to resolve allegations it paid kickbacks to doctors to persuade them t...
Source: Health Care Renewal - November 22, 2016 Category: Health Management Tags: bribery health care corruption impunity kickbacks legal settlements medical devices Source Type: blogs
Integrated care organizations: Medicare financing for care at home.
CONCLUSIONS: Adoption of an HCBS benefit in Medicare would improve financial protection for beneficiaries with physical and/or cognitive impairment and provide the financing for health organizations to better integrate medical and social services. ICOs and delivery models of care emphasizing care at home would improve accessibility of care and avoid costly institutionalization; additionally, it would also reduce beneficiary reliance on Medicaid.
PMID: 27870546 [PubMed - in process]
Source: The American Journal of Managed Care - October 31, 2016 Category: Health Management Authors: Davis K, Willink A, Schoen C Tags: Am J Manag Care Source Type: research
Follow the Money: Nominee for Secretary of Health and Human Services Traded Health Care Stocks and Owned Tobacco Stocks While in Congress
ConclusionsMr Trump ' s ongoing behavior does have some silver linings. It is making the public more aware of the dangers of conflicts of interest andcorruption, not just in health policy or health care. And it is also making the public aware how we have to follow the money, all the money that flows around our new plutocrat-in-chief to be, and his rich and well connected cronies.If we cannot restrain the increasing pile of conflicted and possibly corrupt political appointments, we will be in for much worse than the health care dysfunction Health Care Renewal has been lamenting for more than 10 years.
Source: Health Care Renewal - December 29, 2016 Category: Health Management Tags: conflicts of interest DHHS Donald Trump health care corruption tobacco US Congress Source Type: blogs
Occupational Variation in End-of-Life Care Intensity.
CONCLUSION: Occupations with likely exposure to child development, death/bereavement, and naturalistic influences demonstrated lower EOL care intensity. These findings may inform patients and clinicians navigating choices around individual EOL care preferences.
PMID: 28571496 [PubMed - as supplied by publisher]
Source: The American Journal of Hospice and Palliative Care - January 1, 2017 Category: Palliative Care Authors: Hyder JA, Haring RS, Sturgeon D, Gazarian PK, Jiang W, Cooper Z, Lipsitz SR, Prigerson HG, Weissman JS Tags: Am J Hosp Palliat Care Source Type: research
Round and Round It Spins - Our Latest Health Care Revolving Door Roundup
DiscussionThe revolving door has been a chronic problem for the US, but seems to only be getting worse. We saw plenty of examples of people transiting the door to or from the US executive branch during the George W Bush and Obama administrations. We are still seeing people transiting the door from the latter administration. However, the number of people transiting the door into the Trump administration seems unprecedented, although admittedly that impression is based on series of cases, not systematic quantitative studies.So, as I have said before, most recentlyin August, 2017,The revolving door is a spec...
Source: Health Care Renewal - October 8, 2017 Category: Health Management Tags: Donald Trump health care corruption regulatory capture revolving doors Source Type: blogs
Bigger is Not Always Better: How Consolidation in Health Care Hurts Patients
By TIMOTHY HOFF
The recent news that U.S. retail giant CVS Health will purchase insurance giant Aetna, in part to gain millions of new customers for its prescription drug and primary care businesses, is another ominous sign for patients. Patients should worry about all the continued consolidation in the health care industry, whether it is Walgreens buying Rite-Aid to increase their pharmacy clout; Anthem’s ill-fated attempt to purchase Cigna to become an insurance monopoly; or hospital systems like Partners Healthcare in Boston trying to buy the hospitals and physician networks in and around its service area to control...
Source: The Health Care Blog - January 30, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Aetna Consolidation CVS Health value-based care Source Type: blogs
Care coordination for children with special needs in Medicaid: lessons from Medicare.
CONCLUSIONS: States and Medicaid managed care organizations have many options for designing effective care coordination programs for CSHCN. Their choices should account for the diversity of conditions among CSHCN, families' capacity to coordinate care, and social determinants of health.
PMID: 29668210 [PubMed - in process]
Source: The American Journal of Managed Care - April 1, 2018 Category: Health Management Authors: Stewart KA, Bradley KWV, Zickafoose JS, Hildrich R, Ireys HT, Brown RS Tags: Am J Manag Care Source Type: research
The March of Legal Settlements Made by Pharmaceutical Companies is Diminishing - Presaging Even Less Accountablity for Top Health Care Organizational Leaders?
DiscussionSo my perceptions that the number of the sorts of legal settlements of interest to us has likely been diminishing was accurate. Unfortunately, rather than the decrease being due to better behavior, decresed reporting, or my laxity in case-finding, it now looks that US government efforts to combat bad behavior by big health care corporations and to hold top leaders of these organizations accountable is getting even more lax.So once again, with feeling... We seem to be sliding backwards in efforts to make the leaders of large health care organizations accountable, and particularly to combat the worse man...
Source: Health Care Renewal - May 25, 2018 Category: Health Management Tags: Donald Trump health care prices impunity kickbacks legal settlements Pfizer Source Type: blogs
Is Universal Health Care Socialism?
By ETIENNE DEFFARGES
The November midterms elections are approaching, and one of the major topics is health care. Democrats are campaigning on retaining Obamacare, in many cases advocating that we move towards universal health care.
That would be pure socialism, retort Republicans, who would rather repeal the Affordable Care Act as they attempted in 2017, even if this leads to 20 million Americans losing coverage.
Is Universal Health Care Socialism?
Only if we believe that every other developed market-based economy in the world is socialist since the U.S. is the only one without universal coverage. We spend almost $10,...
Source: The Health Care Blog - September 5, 2018 Category: Consumer Health News Authors: matthew holt Tags: Economics Socialism Universal Health Care UntanglingtheUSA Source Type: blogs
High-touch care leads to better outcomes and lower costs in a senior population.
CONCLUSIONS: In a propensity-matched sample of Medicare Advantage patients, those receiving high-touch care had lower healthcare costs and fewer hospitalizations. Potential explanations are higher preventive medication use and more frequent visits.
PMID: 30222926 [PubMed - in process]
Source: The American Journal of Managed Care - September 1, 2018 Category: Health Management Authors: Ghany R, Tamariz L, Chen G, Dawkins E, Ghany A, Forbes E, Tajiri T, Palacio A Tags: Am J Manag Care Source Type: research
The Importance of Patient Engagement in Post-Acute Care
By BRIAN HOLZER MD, MBA
Leaders in hospitals and health systems as well as post-acute care providers such as skilled nursing facilities (SNFs) and Home Health Care (HHC) agencies operate in a complex environment. Currently, the health care reimbursement environment is largely dominated by fee-for-service models. However, acute and post-acute leaders must increasingly position their organizations to prepare for, and participate in, evolving value-based care programs—without losing sight of the current fee-for-service reimbursement structure.
With that said, the call to action for acute and post-acute providers working a...
Source: The Health Care Blog - December 19, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Medicare ACOs Brian Holzer CMS health innovation patient engagement post-acute care value-based care Source Type: blogs
Watch This Space: 3 Phenomena That Will Drive Health Care Innovation in 2019
By REBECCA FOGG
Back at their desks after the holidays, health care payers, providers and policymakers across the country are staring down their list of 2019 priorities, wondering which they can actually accomplish. Innovation to improve care quality and reduce costs will top many lists, and progress on this front depends, in no small part, on conditions for such innovation in the health care marketplace. Here are three phenomena unfolding there that I’ll be following closely this year to understand what innovators are up against, and how they’re responding.
The legal battle over the Affordable Care Act (ACA). Over ...
Source: The Health Care Blog - January 31, 2019 Category: Consumer Health News Authors: matthew holt Tags: Obamacare Value-Based Care health innovation Rebecca Fogg value-based payments Source Type: blogs
How Stupid Do They Think We Are? - Plutocrats Using Logical Fallacies to Defend the Health Care Status Quo
In the early 21st century, the debate about health care reform in the US ramped up. The result ultimately was thePatient Protection and Affordable Care Act (PPACA, ACA, " Obamacare " ), which arguably improved access to health care, made some reforms in the regulation of health care insurance, but did not affect the fundamental reliance of the US on employer-paid, for-profit health care insurance to finance health care for many patients. Nor did it really affect the issues we discuss on Health Care Renewal (lookhere for details).After the tumultuous election of President Donald Trump, the debate started up agai...
Source: Health Care Renewal - February 14, 2019 Category: Health Management Tags: dark money disinformation health care reform logical fallacies ppaca propaganda stealth health policy advocacy Source Type: blogs
