The Centers for Medicare and Medicaid Services (CMS) and Congress have begun to develop and test different approaches to better manage care for chronically ill beneficiaries. This has included the promotion of Chronic Care Management (CCM) to better control costs while improving the quality of care and outcomes for Medicare beneficiaries suffering from multiple chronic conditions. More specifically, CMS has supported the testing of innovative approaches including the use of home-based primary care teams to improve beneficiary health for this difficult to manage patient population while controlling costs.
The U.S. Drug Enforcement Agency is expanding drug take-back programs in an effort to address the problem of abuse of prescription drugs. Read the story
A new study has shown that a patient’s risk of acquiring a drug-resistant infection increases one percent with each day spent in the hospital. Read the story
A new study suggests that sleep loss may lead to a faster decline of the brain, memory loss and dementia. Read the story
Profits are up as are the number of patients getting access to care in the 27 states that have accepted the Affordable Care Act’s Medicaid expansion. Read the story
According to this article, nursing home star ratings, which rely on a significant amount of self-reporting, may not always be accurate. Read the story
The Drug Enforcement Association has imposed new restrictions on hydrocodone combination products such as Vicodin, making them ineligible for automatic refill and allowing fewer pills per prescription, and the decision has come under fire by long-term care advocates who worry that it will impede patients’ access to needed pain medications.Read the story
Individuals referred to as “dual-eligible” are those people who are eligible for coverage by both the Medicare and Medicaid programs – most often low-income seniors or younger individuals with severe disabilities.According to the Medicare Payment Advisory Commission (MedPAC), “They tend to be poor and report lower health status than other health beneficiaries, and cost Medicare about 60 percent more than nondual eligibles.”The health and cost challenges of the dual-eligible population are further complicated by the variation in coverage and payment policies offered by 50 separate and unique Medicaid policies.
Even before the passage of the Affordable Care Act – otherwise known as healthcare reform – the concept of medical homes was the subject of prolonged debate as a theoretical model of care. But what, exactly, is a medical home?
For the most part, a medical home is not a physical care location. Rather, it is a care practice model that encompasses a network of providers delivering patient-centered preventive and primary care. The goals of the medical home concept are to reduce costs while improving quality outcomes and efficiency in care delivery.
A glitch caused by the discovery of inaccurate data during the review phase will not delay the launch of a Web site that will report the payments doctors receive from industry sources. Read the story
An association of long-term care providers is urging greater transparency when it comes to managed care data, with the hopes of securing more accurate comparisons with fee-for-service models. Read the story
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