Remove Ambulatory Care Remove Medicare Remove Primary Care
article thumbnail

Health Disparities in America: JAMA Talks Structural Racism in U.S. Health Care

Health Populi

For Black patients, lower utilization of ambulatory care and higher use of inpatient, emergency department, and nursing suggest greater spender downstream that might be prevented by more spending upstream on primary care, prevention, and early detection of disease.

article thumbnail

The 7 Ps of Marketing

Healthcare Success

urgent care, acute care, primary care, ambulatory care, Telehealth, etc.)—especially Net consumer cost depends on several factors, including: Insurance types and coverages (HMO, PPO, Medicare, Medicaid, etc.). especially if they offer something their competitors do not. Pre-authorizations.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

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

NASHP

Primary care case management (PCCM) programs are one of the oldest types of Medicaid managed care, but over time most states have shifted to use managed care organizations (MCOs) to deliver services to Medicaid participants. ii] Rural areas are highly likely to suffer from shortages of primary care and other providers.

article thumbnail

Telehealth In 2030 – Notes From the Future At #ATA19 with Safavi, Holt, Bathina and Swafford

Health Populi

Today, fewer than 1% of Medicare beneficiaries have had any telehealth encounter, Kaveh explained, and fewer than one in eight doctors are aware of offering telehealth in their practice. Deepthi from Humana offered three considerations concerning how care will transform. healthcare system.

article thumbnail

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.

article thumbnail

Day 2 Notes from the 42nd Annual J.P. Morgan Healthcare Conference

Sheppard Health Law

As Mostashari said today, it is becoming increasingly clear to primary care practices that the current system is not sustainable. Sell noted that there had been higher utilization coming from hip and knee replacements in their Medicare Advantage (MA) population, as well as certain drug and other costs.

article thumbnail

Home Is Where the Health Is: An Update on Connectivity, Food, and Retail

Health Populi

And it’s crucial for incumbent health care suppliers — hospitals, pharma, devices and supplies, and health plans — to assess, learn, strategize and execute on the potential shift of $265 billion of care services that McKinsey expects to migrate to the home by 2025. The momentum for the Blur is high velocity.