Tag Archives | medicare

5 Unique Benefits of the Patient-Centered Medical Home

“Patient-centered” is a widely used term in health care discussions, but what does it really mean? The patient-centered medical home (PCMH) provides an instructive example. A PCMH embodies an approach to the primary care practice (PCP), one in which care is coordinated, accountable and comprehensive, as well as inclusive of wellness, preventive, acute and chronic […]

New Approaches to Managing High-Cost Drugs

Prescription drugs are critical to any effective healthcare system, but in the U.S. they are also a growing financial burden on patients, employers and care providers, many of whom struggle to keep up with their high costs. According to separate reports from the Medicare Payment Advisory Commission and the IMS Institute for Healthcare Informatics, prescriptions accounted for a […]

The Evolution of Health Plans

The health plan you purchase today may not resemble the plan of your parents or grandparents at all. For decades, Americans received healthcare under the traditional fee-for-service system. Insurance companies reimbursed patients or payers based on every service provided to patients. This seemed logical on the surface, yet problems became clear as the industry realized […]

Reimbursements Driving Better Clinical Outcomes in Behavioral Health

Over the past few years, America has witnessed its health care system shift from a predominately pay-for-service model to one with various reimbursement models that focus on long-term behavioral health improvements, promoting efficiency and reducing costs. It may seem like a tall order for physician payment methods to improve patient care, but the industry agrees […]

The Latest Facts on the Mental Health Crisis in America

Mental Health

Approximately 43.6 million adults in the U.S. suffer from some type of mental illness, according to the Substance Abuse and Mental Health Services Administration (SAMHSA). That is more than 18 percent of the U.S. population. At that rate, it’s nearly impossible for someone to go their whole lives without either experiencing mental illness first hand […]

Obesity’s Impact on Health Care

Despite more than a decade of government-sponsored anti-obesity campaigns, a reduction in the consumption of soft drinks and a trend of fast-food menus listing calorie counts, obesity rates in the United States are still increasing. Every state in our nation has rates of obesity that are higher than 20 percent. Arkansas has the highest adult […]

HealthCare Seeking Solutions for Specialty Drugs Costs

The Centers for Medicare & Medicaid Services predicted that spending on prescription drugs would rise by 6.8 percent in 2014.   Their estimate was a bit off.   Instead, spending on prescription medications leaped by 13 percent to $374 billion, according to a recent paper from the IMS Institute for Healthcare Informatics. It was the […]

CEO of Kaiser Foundation Calls for Changes in Pharma

Kaiser exec calls for changes in pharma   Roughly 25 years ago, if you wanted a cell phone, a digital camera and a video camera, you would need to shell out almost $3,000. And for your money, you’d get big, clunky devices that provided primitive results.   These days, you can buy all of this […]