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More Evidence of Self-Rationing as Patients Morph into Healthcare Payors

Health Populi

Wolters Kluwer released a summary of a study this week, to be published in full in 2020, surveying 1,000 consumers (232 of whom had been a hospital inpatient in the past year) and 837 health care providers (a mix of physicians, nurses, and hospital administrators). BLS calculated that general price inflation rose 1.8%

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Consumers Want Help With Health: Can Healthcare Providers Supply That Demand?

Health Populi

Whether retail clinics, telehealth, or asynchronous physician visits via mobile health apps — consumers’ adoption of these sites, away from traditional brick-and-mortar doctors’ offices and ambulatory care clinics, has hovered around 10%, Oliver Wyman gauges in this report.

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Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care

NASHP

Serious illness is “a health condition that carries a high risk of mortality and either negatively impacts a person’s daily function or quality of life or excessively strains the caregiver.”. Rhode Island is another state that has invested in coordinated care for complex populations enrolled in Medicaid. The state and U.S.

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6 Healthcare Trends Impacting Medical Practices in 2023

HIT Consultant

Mental healthcare will become an integral component of the healthcare experience. Physicians and healthcare providers will lean more heavily into building integrative practices that include behavioral and mental health offerings, delivering a more holistic patient experience.

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CMS Announces Strategy on Value-Based Payments for Specialty Care

Sheppard Health Law

Value-based care is a healthcare reimbursement payment methodology based on health outcomes and the quality of care rendered to the patient. In value-based models, CMS pays for health services and items based on quality measures rather than on the volume of services or items delivered.

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Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas

NASHP

iii] Also, those living in rural areas are more likely to experience a preventable hospitalization. [iv] Lack of Access to Specialists Associated with Mortality and Preventable Hospitalizations of Rural Medicare Beneficiaries.” In 2019, Colorado launched its alternative payment model (APM) for primary care providers.