Managed Care

Managed Care Medical Company

05/09/2019

People with behavioral health problems have stretched emergency departments to their limit as the number of inpatient psychiatric beds has decreased. For many patients, the ED is the first place they go. Even people under the care of a mental health professional wind up in EDs because they’re in c...

04/09/2019

Quantifying the worth of primary care and its delivery are essential for raising its profile. New data and payment incentives may push us closer.

03/09/2019

Conversations about the value of health care treatments have not traditionally included the patient perspective. In the past, value has been measured through cost-effectiveness analyses that weigh the clinical benefits of a treatment against its costs without a consideration of how those benefits al...

27/08/2019

Insurer and provider come together to deliver primary and specialty care in 20 clinics. The joint venture blurs the line between stakeholders. Will patients benefit?

21/08/2019

The former head of CMS takes Congress to task. The ACA is not perfect (no law is) but could be improved, in his view, if only lawmakers would show more political courage.

19/08/2019

Aetna’s vice president of health strategy and innovation explains how tweaking an established program will offer vulnerable beneficiaries more value.

14/08/2019

The executive director of the Center for Connected Health Policy talks about the promise and obstacles of embedding this technology into our lives.

12/08/2019

The president of what started as a dental plan describes what it took to successfully launch a Medicaid ACO in the remote regions of Oregon and Alaska.

07/08/2019

Don’t expect politicians to ride to the rescue, says the author of a book that examines just what went wrong and how we can fix it. He puts his faith in entrepreneurs, among others.

05/08/2019

The architect of the ACA waxes defiantly about how effective the law has been and what can be done to make it more so. Also, he is OK with Medicare for all but not the Sanders version.

02/08/2019

“That which does not kill us makes us stronger,” said Nietzsche. Goodness knows that the GOP and President Trump have been trying to kill the ACA, and/or replace it. There are battles on several fronts: legislative, judicial, political.

01/08/2019

A prospective study in the works will track 1,500 to 2,000 patients undergoing checkpoint inhibitor therapy at clinics and hospitals across the nation. Researchers will collect blood samples periodically, subjecting the samples to genomics and other technologies that they hope will suss out causativ...

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