Improving Care and Lowering Costs for the Sickest Patients
1.2% of employees are eating up 31% of the total health care spend for 26 large
employers, according to a new report by the American Health Policy Institute and
Leavitt Partners documents. The report's authors' offer five strategies for reducing
the cost of caring for these patients while improving patient care.
Vermont Closer to Implementing an all-payer ACO model
The State of Vermont and the Centers for Medicare and Medicaid Innovation have
reached a draft preliminary agreement to create an all-payor Accountable Care
Organization model in the state. The agreement is now under legal review by the
State and CMS. Under the model, commercial insurers, Medicare and Medicaid would
all pay the same amount for the same services from a specific provider. Now, the
State is working with commercial insurers including Blue Cross Blue Shield, which has
indicated it is open to the idea, to get them on board.
Hospitals Getting Slammed by Drug Price Hikes
From 2013 to 2015 inpatient drug spending increased by a whopping 23.4%,
according to a study by the Nation Opinion Research Center. The study found that
the skyrocketing prices were driven by increases in drug prices, not in the volume
of drugs used. It also found that new high-priced drugs and increased older generic
drug prices are the major factors to the price surge.The huge increase are negatively
impacting the hospitals, insurers and, even, healthy people.
Who Makes What on Prescription Drugs?
The path of prescription drugs from manufacturer to patient is complex.
Middlemen along the way are all are taking a piece of the pie. Who are they?
What does each contribute and how much do they make for their efforts?
Three Star Preferred Provider Program Additions
Any Arthritis Clinic
Brooklyn, NY 11229
Ariosa Diagnostics, Inc.
San Jose, CA 951381
Cambridge Public Health
Medford, MA 02155
Glastonbury, CT 06033
Center for Advanced Neuropsychology
Davie, FL 33314
New York, NY 10022
Olympia, WA 98506
Highland Hill, OH 44122
Home Care Services, Inc.
Philadelphia, PA 19178
Innovative Medical Solutions
Cincinnati, OH 45245
Holden, MA 01520
Kaskaskia Medical Center
Vandalia, IL 62471
Pediatric Specialists of Plano
Plano, TX 75093
Prion LLC, Mr. Larry Rodgers
The Woodlands, TX 77380
Stillwater, OK 74074
South Suburban Women's Center
Garfield Heights, OH 44125
Surgicare of Boca Raton
Boca Raton, FL 33496