U.S. pharmacists dispensed 4.4 billion prescriptions in 2015. The total cost was $310 billion. This represents 10 percent of the national healthcare bill. Drug costs are increasing and Americans are […]
Now that the masses have returned home from either the inauguration or protests in our nation’s capital, the Legislative and Executive branches have begun the daily scrum of governing. Given the polarized […]
Introduction Achieving New York’s goal of moving 80-90 percent of managed Medicaid dollars to Value-based payment (VBP) arrangements by 2020 will certainly be a challenge. Most MCOs will need to […]
We all know the Trump administration’s commitment to repeal and replace key components of the Affordable Care Act. What we don’t know is what that will look like or how […]
The Missouri Hospital Association’s exploration of the impact of poverty on readmission rates leads them to suggest, “Before Penalizing Hospitals, Account for the Social Determinants of Health.” Here’s an example: […]
Value-based insurance design (VBID) arrived in Washington, DC on the first day of 2017 when two of the largest federal government healthcare programs launched VBID demonstration programs. The long-awaited Center […]
Happy New Year and thank you to all our readers! Before we officially start 2017, catch up on five of Inside Angle’s most read blogs of 2016: Overcoming skepticism about […]
Following Medicare’s lead, New York State Medicaid has implemented requirements on health plans to rapidly increase the percentage of dollars being spent under value-based care arrangements. Not only will plans […]
“Readmission rates apply to hospitals. As a primary care physician, I don’t have control over hospitals so why should I be on the hook for this?” This is a question […]
Two years ago, I blogged about my favorite websites for information on population health. Since then my inbox has become crowded with e-newsletters and alerts. Recently I found myself unsubscribing […]
Have you been leafing through all 2,000+ pages of the Final Rule? Save yourself time and learn how your system can succeed under the new guidelines.
CMS is moving to shift healthcare payments from traditional fee-for-service models to value-based reimbursement (VBR). How prepared is your organization to successfully receive accurate reimbursement for your patient population?