On May 26, the Centers for Medicaid and Medicare Services (CMS) released long-awaited proposed rule that seek to modernize the regulatory framework governing Medicaid managed care plans. The proposed rule aims to increase efficiency in the managed care program for providers, enrollees, and health plans, while maintaining consumer protections.
Both a call to action and a roadmap for progress, Families USA’s latest report, Health Reform 2.0 lays out a path for securing high-quality, affordable health care to all Americans—regardless of income, age, race, or ethnicity—and for achieving the “Triple Aim”: improving health, enhancing quality of care, and reducing health care costs.
Although the Affordable Care Act now offers individuals greatly expanded access to health coverage, simply having an insurance card does not guarantee access to high-quality health care.
In sectors from banking to car maintenance, immediate electronic access to data is the industry standard. The health care sector is different. Old-fashioned paper records are still the norm in most doctors’ practices across the country, and the adoption of electronic health records (EHRs) has been slow even in hospitals.
The health care sector’s reliance on paper charts makes it difficult for health care providers to track patient information over time and share this information with other providers. It also makes administrative tasks such as billing more challenging. As a result, the system isn’t as safe, efficient, or effective as it could be.
Today, we’re kicking off an occasional series of posts that will focus on the intersection of health and technology. Over the coming months, we’ll explore ways in which technology is helping to improve the way that doctors and other providers deliver health care to their patients.
In this first post, we’re going to explore how telemedicine can be used to increase access to specialist care. In future posts, we’ll explore topics that range from pills with sensors that track when they have been swallowed to electronic health records.
Today, we’re kicking off a series of blogs that examine the intersection between health and technology. Why? In many ways, the U.S. health care system has been remarkably conservative when it comes to technology. We know that the health care field is often quick to adopt innovative treatments for disease and illness.
Earlier this month, a federal district court judge in Idaho examined whether a merger between a large hospital system, St. Luke’s, and the state’s largest independent network of doctors would create monopoly conditions. This proposed merger underscores a growing trend in the health care industry: because it’s easier and more cost effective to coordinate patient care when hospitals, specialists, and primary care doctors are part of one unified system that is financially and clinically integrated, we’re seeing more hospital and provider groups merging.
Getting the Right Care at the Right Time: Why Consumers Should Care About Health System Transformation
Consumers rely on doctors to employ best practices in the delivery of health care. Whether it’s offering advice on which preventive screenings are necessary or diagnosing a life-threatening illness, we trust that our physicians base the way they deliver care on evidence.
That’s why many are surprised to learn that medicine is more an art than a science. As one frequently cited study published in the New England Journal of Medicine found, evidenced-based care is delivered only half of the time.
Explains how accountable care organizations give financial incentives to health care providers to work as a team to deliver high-quality care;discusses challenges states face when implementing ACOs in Medicaid.
Comprehensive care coordination promises to be a key strategy in new care delivery models that aim to improve patient health and reduce waste in the health care system. The Affordable Care Act has made it easier for states to address our country’s rising health care costs by investing in care coordination. States can now design and test new models of care delivery and payment that improve health outcomes and patient experience while also reducing health care spending.