Slow expansion of SDOH benefits expected in 2020 MA health plans
MA health plans are expected to incrementally increase in 2020 their use of programs targeting the social determinants of health.
CareMore Health: Addressing loneliness leads to lower rates of ED, hospital use
Through a holistic program that addresses senior patients’ psychological, social and physical health, a provider is successfully treating loneliness and improving outcomes.
2 states take the lead in implementing innovative healthcare reforms
Washington and Colorado are seeking to funnel noteworthy innovations in healthcare reform, including a public option, through their Medicaid infrastructures.
Geriatric EDs improve care, reduce utilization
Main article: Innovation in action: The genesis of the geriatric ED Adults ages 65 and older account for about 18% of total emergency department (ED) visits, according to the American College of Emergency Physicians (ACEP). That percentage has increased steadily in the past decade and will do so for the foreseeable future. There were 43…
Analysis: Administration’s plans on drug pricing faced recent multiple setbacks
In the face of recent, multiple setbacks on the Trump administration’s proposals for drug pricing, the administration could move aggressively forward on its anticipated International Pricing Index Model for Part B drugs proposal.
Turning conflict into collaboration: How to manage workplace disagreements
Dealing with the increased likelihood of workplace conflict, healthcare leaders can use best practices to turn conflicts into positive situations.
Analysis: Survey results show health systems prepared to take risk
Results of a recent HFMA/Navigant survey show providers are prepared to increase their level of payment risk. HFMA’s Chad Mulvany provides insight on what these results indicate.
Analysis: Out-of-pocket costs increased faster than wages in 2018
The latest TransUnion Healthcare report shows a 12% increase in patient out-of-pocket costs while wages grew only 3%, proving the need for hospitals and health systems to engage patients in a discussion about their out-of-pocket responsibility.
Analysis: American Well and Cisco develop telehealth offering for MA plans
HFMA’s Chad Mulvany says it makes sense that Medicare Advantage (MA) plans would invest in virtual health options for older patients, like the recently announced American Well/Cisco partnership, which could lead to a significant impact on hospital discharges.
The art of execution: Identifying and mitigating risks in healthcare provider organizations
Three provider examples, a physician dashboard, and planning tool illustrate the steps required to put designed processes, structures, policies, and systems into action.