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More than disease management needed to control costs, JAMA study says
By Melanie Evans | June 24, 2013 | Basic Web Basic Web Subscription Details
The U.S. will have to do more to prevent chronic illness than simply managing it better in order to save significantly on costs for Medicare's most expensive patients, a new study suggests.
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Systems with ACOs say benefits are strategic, not financial
By Beth Kutscher | June 19, 2013 | Basic Web Basic Web Subscription Details
The Medicare Shared Savings Program isn't yielding rapid rewards for systems piloting ACOs in the project's first wave.
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Information
WakeMed, physicians group coordinate to improve care and avoid penalties
By News Observer (Raleigh, N.C.) | June 18, 2013
WakeMed Health & Hospitals and Key Physicians, one of North Carolina's biggest physicians practices, announced a partnership Monday designed to minimize federal penalties and maximize financial rewards under the national healthcare law.
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Reform Update: McClellan sees Pioneer quality measures having wide impact
By Melanie Evans | June 17, 2013 | Basic Web Basic Web Subscription Details
Debate over quality measures among Medicare's first accountable care organizations and federal officials will likely have significance for the 220 (and growing) other accountable care efforts under Medicare, a former CMS administrator says.
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Reform Update: 'Physician champions' needed to increase payer, provider collaboration, execs say
By Jonathan Block | June 13, 2013 | Basic Web Basic Web Subscription Details
It's no surprise that collaboration between payers and providers will continue to increase as the launch of health insurance exchanges in October approaches. But sustaining that cooperation will require “physician champions” to work closely with payers and more simplified contracts...
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Reform Update: Medicaid expansion could occur in red states in coming weeks
By Jonathan Block | June 11, 2013 | Basic Web Basic Web Subscription Details
The coming weeks are shaping up to be a big deal for states still on the fence regarding Medicaid expansion.
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Commercial insurers less likely to offer ACOs 'upside-only' shared-savings arrangements
By Rachel Landen | June 05, 2013 | Basic Web Basic Web Subscription Details
Commercial insurers participating in accountable care arrangements are less likely than Medicare to use payment models featuring the “upside-only” shared savings preferred by providers.
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Execs worry Gilfillan's CMS exit will slow reform
By Melanie Evans and Jessica Zigmond | June 03, 2013 | Basic Web Basic Web Subscription Details
Outgoing CMS Innovation Center chief Dr. Richard Gilfillan was praised by health system executives for his flexibility and deep knowledge of healthcare delivery.
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Reform Update: Medicare managed care linked to overall savings, study finds
By Melanie Evans | May 29, 2013 | Basic Web Basic Web Subscription Details
Hospital visits are shorter and less costly for all patients in markets with more of them enrolled in Medicare managed care, according to new research. The results suggest hospitals make far-reaching changes to delivery as incentives to better manage care increase.
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News
Health differences key to variation in Medicare costs: analysis
By Melanie Evans | May 28, 2013 | Basic Web Basic Web Subscription Details
An analysis of the dramatic geographic variation in U.S. healthcare spending contends that the health of the patients—not what doctors and hospitals do—accounts for most of the differences.
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