The shift toward consumer-driven healthcare could wind up cutting the number of patients receiving care via the hospital inpatient setting by as much as 40 percent over the long term, according to a new report by the Oliver Wyman consulting firm.
The Centers for Medicare & Medicaid Services has issued an update on its settlement process with providers regarding disputed short-term hospital claims
Enroll America--alongside Civis Analytics, a technology and research firm--recently updated its model to find the uninsured Americans and where they live.
Through its patient-centered medical home, Highmark has been able to improve patient care, including lowering emergency room and prescription drug use, according to data released by the Pittsburgh, Pennsylvania-based insurer.
The healthcare industry's recent focus on patient satisfaction and HCAHPS scores don't go deeply enough into repairing the core breakdowns in the way organizations help patients heal, according to M. Bridget Duffy, M.D., chief medical officer at Vocera Communications in San Francisco, who spoke at this week's Medical Group Management Association's annual conference.
I think it's fair to say that for the American Medical Association (AMA), the gloves officially are off.
The industry holds high hopes for the patient-centered medical home model, but some adopters have struggled to achieve its triple aim of improved care experience, improved population health and reduced cost of care. FiercePracticeManagement spoke with leaders of the PCMH movement to learn best practices to tip the scales in favor of success.
To help defray the high costs of certain treatments and prescription drugs, like hepatitis C drug Sovaldi, insurers are figuring out different ways to cover the drugs and services by limiting who can have access to them, reported Kaiser Health News.
It's going to be a long time before insurers start seeing healthy consumers enroll in the health insurance exchanges, Aetna CEO Mark Bertolini said in an interview with CNBC.
Large U.S. hospitals throw away $15 million in sterile, unused surgical supplies annually that easily could be donated to hospitals and clinics in developing countries, a Johns Hopkins University study published online in the World Journal of Surgery found.