Govt., ACOs to share savings
- Losing some Advantage. Zigmond, Jessica // Modern Healthcare;6/6/2011, Vol. 41 Issue 23, p32
The article discusses the implication of upcoming payment changes for the future of Medicare Advantage in the U.S. It notes that significant payment reductions for the Medicare Advantage plans were included in the 2010 Patient Protection and Affordable Care Act. A summary of the health reform...
- Diametrically opposed. Vesely, Rebecca // Modern Healthcare;5/16/2011, Vol. 41 Issue 20, p6
The article reports on the various approaches taken by U.S. states to revamping their roles in healthcare and control costs. A bill was passed in Vermont that puts the state on the path toward single-payer coverage, while Florida plans to transfer roughly all 2.9 million Medicaid recipients into...
- Health Reforms Spur Better Practices in China. // ASHA Leader;Jun2014, Vol. 19 Issue 6, p16
The article discusses research which investigated health spending and antibiotic-prescribing practices of primary care providers in rural China, conducted by Winnie Yip of the University of Oxford and colleagues, published in the March 2014 issue of "Health Affairs" journal.
- Health insurance generosity and conditional coverage: Evidence from medicaid managed care in Kentucky. Marton, James; Yelowitz, Aaron // Southern Economic Journal;Oct2015, Vol. 82 Issue 2, p535
This article estimates the impact of the introduction of Medicaid managed care (MMC) on the formal Medicaid participation of children. We employ a quasi-experimental approach exploiting the location-specific timing of MMC implementation in Kentucky. Using data from the March Current Population...
- Impact of Medicare changes in pharmacy reimbursement on patient care: Two case reports. Siegel, Jerry // American Journal of Health-System Pharmacy;8/1/2007 Supplement, Vol. 64, pS7
Purpose. Two case reports illustrate the impact of changes in pharmacy reimbursement associated with the Medicare Prescription Drug Improvement and Modernization Act (MMA) on patient care. Summary. The Medicare Part D benefit is complex and difficult for patients to understand. A patient's...
- TRENDS: Health Spending Rebound Continues In 2002. Levit, Katharine; Smith, Cynthia; Cowan, Cathy; Sensenig, Art; Catlin, Aaron // Health Affairs;Jan/Feb2004, Vol. 23 Issue 1, p147
U.S. health care spending climbed to $1.6 trillion in 2002, or $5,440 per person. Health spending rose 8.5 percent in 2001 and 9.3 percent in 2002, contributing to a spike of 1.6 percentage points in the health share of gross domestic product (GDP) since 2000. Hospital spending accounted for...
- MCOs don't benefit equally from Medicare reform. Flory, Joyce // Managed Healthcare Executive;Apr2004, Vol. 14 Issue 4, p55
Focuses on the benefits of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. Increase in reimbursements; Impact of the legislation on managed care plans in the U.S. Evaluation of Medicare reform.
- Medicare Advantage battle looms over pay rates, risk adjustment. Herman, Bob // Modern Healthcare;2/15/2016, Vol. 46 Issue 7, p0004
The article reports on the Medicare Advantage payment rates and risk adjustment policies to be announced by the U.S. Centers for Medicare and Medicaid Services (CMS) for 2017.
- Moving physicians from fee-for-service first step to 'doc fix', McClellan says. // Modern Healthcare;2/24/2014, Vol. 44 Issue 8, p30
An interview with Mark McClellan, director of the Brookings Institute's Engelberg Center for Health Care Reform, is presented. Topics discussed include the U.S. Medicare Payment Advisory Commission (MedPAC) proposal on payment rates for physician services, Medicare Advantage plans, and...