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Cancellation of Mandatory Cardiac Bundled Payments Could Affect Quality of Care

Cancellation of Mandatory Cardiac Bundled Payments Could Affect Quality of Care

Without testing a bundled payment model across acute care hospitals, it is difficult to gain insight into the design of effective payment programs.

Cognitive Behavioral Therapy Cost-Effective for Some Adolescents With Depression

Cognitive Behavioral Therapy Cost-Effective for Some Adolescents With Depression

A brief cognitive behavioral therapy program is cost-effective for adolescents with depression who declined or stopped using antidepressants.

Mammography Screening Rates Increase After Elimination of Cost Sharing

Mammography Screening Rates Increase After Elimination of Cost Sharing

The elimination of cost sharing for screening mammography is associated with increased screening rates.

Dropout Patterns Assessed in Hospitals Using Voluntary Alternative Payment Model

Dropout Patterns Assessed in Hospitals Using Voluntary Alternative Payment Model

Differences between participants and nonparticipants and the high rate of dropout suggest that voluntary alternative payment models may not improve quality and reduce costs in health care.

Effects of Early vs Late Adoption of Financial Incentives in US Hospitals

Effects of Early vs Late Adoption of Financial Incentives in US Hospitals

Hospitals with early adoption of financial incentives did not have better process scores or lower mortality compared with late adopters.

Economic Burden of Asthma Quantified in the United States

Economic Burden of Asthma Quantified in the United States

The cost of asthma totaled $81.9 billion in 2013, including missed work, mortality, medical costs.

The CVS/Aetna Merger: What It Means for the Future of Primary Care

The CVS/Aetna Merger: What It Means for the Future of Primary Care

In the new partnership, Aetna will have access to data on pharmaceutical usage patterns that will allow the company to carefully parse the insurance risks it takes on.

Economic Impact of US Physicians Assessed for 2015

Economic Impact of US Physicians Assessed for 2015

A report from the American Medical Association captures the 2015 economic activity of all physicians providing patient care.

Acute Myocardial Infarction Mortality Rates Vary With Medicare Expenditure Growth

Acute Myocardial Infarction Mortality Rates Vary With Medicare Expenditure Growth

Improvements for patients with myocardial infarction varied across hospitals and were associated with the diffusion of cost-effective care.

Balancing Sustainability and Access to Care in Concierge Medicine

Balancing Sustainability and Access to Care in Concierge Medicine

One of the major pitfalls of concierge medicine is that physicians must limit their practice to guarantee the accessibility offered by the model in exchange for the retainer.

Physicians Must Report on 1 Patient and 1 Measure for MACRA

Physicians Must Report on 1 Patient and 1 Measure for MACRA

Physicians must report on at least 1 patient and 1 measure by December 31, 2017 and submit the report to Medicare no later than February 28, 2018.

Requiring Insurers to Participate in Marketplace Could Improve Access

Requiring Insurers to Participate in Marketplace Could Improve Access

If the government required insurers that participate in Medicare or Medicaid to participate in the marketplaces in the same geographic area, there would be potential to improve access.

Observation Care Costs Increased Among Commercially Insured Patients

Observation Care Costs Increased Among Commercially Insured Patients

The cost of observation care has increased for commercially insured patients, but it is still lower than spending for short-stay hospitalizations

Multimodal Ovarian Cancer Screening May Be Cost-Effective in the United States

Multimodal Ovarian Cancer Screening May Be Cost-Effective in the United States

Researchers found that multimodal screening is both more expensive and more effective in reducing ovarian cancer mortality over a lifetime.

US Healthcare Spending Growth Slowed in 2016

US Healthcare Spending Growth Slowed in 2016

The slowdown in Medicaid and private health insurance spending growth in 2016 was driven by enrollment trends, while Medicare spending was influenced by slower per enrollee spending growth.

Value-Based Payment Modifier Program Not Linked to Differences in Practice Performance

Value-Based Payment Modifier Program Not Linked to Differences in Practice Performance

The Value-Based Payment Modifier is not associated with differences in performance between practices serving higher-risk and lower-risk patients.

Physician Density Tied to Increased Use of Dermatology Procedures, More Billing to Medicare

Physician Density Tied to Increased Use of Dermatology Procedures, More Billing to Medicare

Higher dermatologist density is associated with increased use of dermatology procedures and subsequent billed charges to Medicare.

CVS-Aetna Merger May Result in More Store-Based Healthcare Providers

CVS-Aetna Merger May Result in More Store-Based Healthcare Providers

CVS Health announced the $69 billion purchase of insurance giant Aetna.

Single Measles Cases Associated With Considerable Costs

Single Measles Cases Associated With Considerable Costs

A single case triggers coordinated public health action that is associated with considerable costs.

Physician Burnout Linked to High Costs for Organizations

Physician Burnout Linked to High Costs for Organizations

The economic loss at Stanford over 2 years is expected to range from 15.5 million to 55.5 million.

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