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A recent study suggests health coaches could provide significant cost savings to patients and health systems, reduce patient hospitalizations and emergency department visits, improve patient health, and improve the quality of care for high-risk patient populations. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
As we shift away from traditional Medicare models, it may be time to reassess whether the traditional Medicare limitation on DME continues to make sense for both patients and payer sources. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Of the 12 million Americans who qualify for both Medicare and Medicaid, 26% of hospitalizations were potentially avoidable. Total healthcare expenditures for this group exceed $300 billion a year, due in part to misaligned financial incentives between the two programs. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
The research will focus on payment for episodes with up to two PAC services within seven days of each other and exclude hospital and physician services. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
A unified value-based incentive program for post-acute care providers is recommended with a possible 5% withhold. Med-PAC is building on their previous work of the unified prospective payment system across four post-acute settings. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Home-based medical care models are shaking-up the $260 billion primary care market. Three physician models, new reimbursement models, telehealth, and chronic care management are key drivers. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Physician participation in accountable care organizations (ACOs) reached a milestone in 2018. More than half of physicians reported their practice was part of an ACO. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Changes to reimbursement for skilled nursing facilities and the physician fee schedule final rule have a major impact on the future of physical therapists and occupational therapists. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Building home care capacity will give plans more flexibility to meet patients on their own terms and could improve outcomes. Learn what is changing models of care in the home. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Aggressive moves by payers teaming up with big players such as CVS are advancing their healthcare programs into the home. How does this impact healthcare organizations? Are these new partnering opportunities or, a new competitor on the horizon? This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Patient engagement is a quality measure for all providers. Developing a chronic care management model is a key strategic model. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Primary care transformation in voluntary programs has failed to broadly engage primary care organizations. What?s causing the low participation? This article is free to 1-Year Classic and 2-Year Premium subscribers.
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