According to ABC news, OneCare Vermont covered about 24,000 Medicaid patients and now covers about 112,000 patients whose health care is provided through Medicare, Medicaid and commercial insurance.
The long-term goal is to expand it so that about 70 percent of health care services provided in Vermont are covered by the system, which encourages patients to stay healthier using specialized care, such as helping them manage chronic conditions like diabetes so they don't wind up needing more expensive treatment. Officials consider 70 percent a realistic goal.
In a switch from when providers were paid for each service performed, providers are allocated a set amount of money to cover the people in the program. This year, $580 million has been allocated to OneCare Vermont, an organization of health care providers tasked by the state with carrying out the spirit of the program. Read More
The New York Times reports that Amazon, Berkshire Hathaway and JPMorgan Chase just announced they would form an independent health care company to serve their employees.
The three companies noted the new entity would initially focus on technology to provide simplified, high-quality health care for their employees and their families, and at a reasonable cost.
The partnership brings together three of the country’s most influential companies to try to improve a system that other companies have tried and failed to change: Amazon, the largest online retailer in the world; Berkshire Hathaway, the holding company led by the billionaire investor Warren E. Buffett; and JPMorgan Chase, the largest bank in the United States by assets. Read More
In an article published November 9th on the Health Affairs Blog, Timothy Jost, Emeritus Professor at the Washington and Lee University School of Law and a member of the Institute of Medicine, cataloged the potential ramifications of what a Trump Presidency might mean for the Affordable Care Act. A summary of Jost's arguments are included below: Read More
Public and private payers can apply through June 1 to participate in a new medical home model that will build on the Comprehensive Primary Care model to help practices support patients with serious or chronic diseases, the Centers for Medicare & Medicaid Services announced today.
Under the CPC+ model, CMS will partner with insurers and Medicaid agencies in up to 20 regions and up to 5,000 practices to provide monthly care management fees based on beneficiary risk tiers. The model can accommodate up to 5,000 practices, 20,000 doctors and the 25 million people they serve. Read More
Over 2000 hospitals across the country stand to lose approximately $280 million in Medicare reimbursement dollars beginning in October 2012, as Medicare begins to penalize hospitals for readmissions within 30 days of hospital discharge, according to an analysis by Kaiser Health News. Read More
In an article in the New Yorker, physician Atul Gawande argues that medicine can take some lessons from high quality, low cost restaurants like the Cheesecake Factory in order to reduce costs and improve quality. Read More
Massachusetts physician groups participating in a global budget reimbursement model were able to reduce the rate of increase in health care spending in year 2 by 3.3 percent, up from 1.9 percent in year 1, according to the Commonwealth Fund. Read More
The Centers for Medicare and Medicaid Services will be launching a third group of Advance Payment Model ACOs on January 1, 2013, according to The Commonwealth Fund. Read More
A study of German wellness programs has found that while implementing wellness programs can reduce healthcare costs for those who participate, low income groups and those with “poor” health status are less likely to enroll, according to a study in the Commonwealth Fund. Read More
Hospitals and insurers are seeking new ways to lower costs, according to an article in the New York Times. Read More
Access to healthcare for non-elderly adults has declined over the past decade, according to a study in Health Affairs. Read More
Pay-for-performance may not benefit low performing hospitals, according to a study in Health Affairs. Read More
A simulation found that increasing the Medicare payment for ambulatory primary care visits by 10 percent can save Medicare dollars in the long run, according to a report by the Commonwealth Fund. Read More
Several Massachusetts hospitals are tying about 10 percent of doctors’ salaries to practice size and the complexity of their patients’ illnesses, according to the Boston Globe. Read More
Two former health and public policy advisers in the Obama administration predict that by 2020, insurance companies will be replaced by Accountable Care Organizations, in an opinion article in the New York Times. Read More
An increasing number of patients are seeing Physician Assistants or Advanced Nurse Practitioners in hospital outpatient departments, according to an National Center for Health Statistics data brief. Read More
The Centers for Medicare and Medicaid Services have announced that the deadlines will be extended for Model 1 of the Bundled Payment for Care Improvement Initiative, according to the Center for Medicare and Medicaid Innovation website. Read More
The number of underinsured adults—those with health insurance, but high medical expenses relative to income— rose by 80 percent between 2003 and 2010, from 16 million to 29 million, according to a study from the Commonwealth Fund. Read More
Michael Porter and Robert Kaplan suggest that in order to reduce health care costs, the entire system of cost calculation must be redefined, according to an article in the Harvard Business Review. Read More
The CMS Innovation Center is seeking applications for four broadly defined models of care as part of its Bundled Payments for Care Improvement initiative, according to a press release. Read More