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Care Delivery

 

Providers and payors want to work together on transitioning to value-based care. What gets in the way is poor communication and time wasted on redundant administrative tasks, according to a Availity survey released at the Healthcare Financial Management Association (HFMA) conference in Orlando.

The University of Utah’s Huntsman Cancer Institute (HCI) has opened a 225,00-square-foot expansion which it said doubles its laboratory space for cancer research.

States that expanded Medicaid eligibility saw emergency department (ED) use per 1,000 people increase by 2.5 visits in 2014, with the share of ED visits covered by Medicaid increasing by 8.8 percentage points compared to states that didn’t expand the program under the Affordable Care Act.

Value-based care models have led accountable care organizations to change how they utilize their workforce through interdisciplinary teams and managing care by focusing on the highest-risk, and highest-cost, patients.

Health systems have appeared eager to partner with medical schools on preparing medical school students for the value-based care world in which they’ll be practicing, though some educators are worried about being lost in that transition.

 

Recent Headlines

Long-term uninsured made up most of ACA’s initial coverage gains

People who had gone three years or more without having health insurance made up more than half of the gains in coverage in 2014, the first year of the Affordable Care Act (ACA)’s insurance marketplace and Medicaid expansion. 

Half of ICU patients didn’t need intensive care in single-center study

More than half of intensive-care unit (ICU) patients (53 percent) at one large teaching hospital would have received more appropriate care in a different, less intensive setting. 

WellCare acquires Arizona health plans, names new leadership

Medical insurance company WellCare Health Plans has acquired two Arizona health plans and named a new executive to oversee the transition.

Pennsylvania medical college integrates with Geisinger Health System

The new year has brought the final approvals to legally integrate Pennsylvania’s Commonwealth Medical College into Geisinger Health System, creating the new Geisinger Commonwealth School of Medicine.

Healthcare.gov sign-up deadline pushed back

HHS pushed back the deadline for customers to buy coverage on the Affordable Care Act (ACA)'s federally run insurance exchange, giving buyers until Dec. 19 to pick a health plan which will go into effect in the new year.

New ACO model for dual-eligible beneficiaries announced by CMS

CMS has announced the creation of the Medicare-Medicaid Accountable Care Organization (ACO) model, aiming to improve care coordination for beneficiaries who are enrolled in both programs.

Mississippi ranked last in annual state health report

High levels of smoking and poverty contributed to Mississippi being ranked 50th in the 2016 edition of America’s Health Rankings from the United Health Foundation, which also identified some national trends which could reverse recent gains made in other categories of health.

ACA exchange sign-ups outpacing last year

The number of enrollees in plans offered on health insurance exchanges has increased slightly compared to the last open enrollment period, with sign-ups accelerating before the deadline to get coverage starting Jan. 1, 2017.

Flu vaccine coverage well below CDC targets

The Centers for Disease Control and Prevention (CDC) reported only 40 percent of Americans have received this season’s flu vaccine. It’s about the same coverage as the prior season—but well behind the agency’s target of 70 percent.

Retail clinics aren’t reducing unnecessary ED visits

Having a retail health clinic nearby isn’t steering patients away from going to the emergency department (ED) for common low-acuity conditions.

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