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

Health Populi

Costs for medical care services (hospitals, ambulatory care, doctors, dentists, vision) bundled together grew 5.1% Health care costs are now integrated into national and state politics in America. Today, health care as a political priority cuts across all generations beyond older Americans, beyond Medicare.

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

NASHP

Since 2014 (first under its “Dual Demo” demonstration and then later via D-SNP contracts), the state has enabled Medicaid MCOs to participate in value-based purchasing through its Integrated Care System Partnerships (ICSP) model. Enhance federal advance care planning requirements. The state and U.S.

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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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CMS Announces Strategy on Value-Based Payments for Specialty Care

Sheppard Health Law

The Centers for Medicare & Medicaid Services (CMS) Innovation Center continues to move forward with its “strategic refresh” initiative. Through this shift, CMS aims to examine and enhance payments for specialty care provided to Medicare beneficiaries. Value-Based Care and ACOs.

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

NASHP

“Lack of Access to Specialists Associated with Mortality and Preventable Hospitalizations of Rural Medicare Beneficiaries.” Health Care Access in Rural Areas: Evidence that Hospitalization for Ambulatory Care-Sensitive Conditions in the United States May Increase with the Level Of Rurality.”