Category: Health Insurance

New ambulance payment model will reimburse for on-site treatment, use of telehealth

The 5-year model is testing for treatment in place of and for emergency transport to an alternative destination, such as a 24-hour care clinic.

Must-Reads Of The Week From Brianna Labuskes

Newsletter editor Brianna Labuskes wades through hundreds of health articles from the week so you don’t have to.

Analysis Finds that Medications for Hepatitis C and HIV/AIDS Are the Costliest Group of Outpatient Prescription Drugs for Medicaid, While Diabetes Drugs Have Posted the Sharpest Rise in Costs 

Antiviral medications, including those that treat hepatitis C and HIV/AIDS, cost the Medicaid program more money (before rebates) than any other group of outpatient prescription drugs for each year from 2014 to 2017, according to a new KFF analysis. Th…

Information sharing, widespread collaboration on education, outcome vigilance can help curb the opioid crisis

Marcia Conrad-Miller of CGI said if payers, providers, pharma work together on oversight and create data store, progress could be made.

How poor provider communication can result in negative Yelp reviews

As consumers become more powerful in healthcare, online reviews have become a more prominent tool by which to gauge brand quality.

Utilization and Spending Trends in Medicaid Outpatient Prescription Drugs

Although the outpatient drug benefit accounts for only 6% of total Medicaid spending, drug spending has increased by double digits in recent years, and is expected to grow faster than most other Medicaid services in the next 10 years. This issue brief …

Podcast: KHN’s ‘What The Health?’ “Medicare-For-All” For Dummies

The “Medicare–for-all” debate is already in full swing, but what does that phrase even mean? Joanne Kenen of Politico, Paige Winfield Cunningham of The Washington Post and Rebecca Adams of CQ Roll Call join KHN’s Julie Rovner for a beginner’s guide to the next big health policy debate. For “extra credit,” the panelists provide their favorite health policy stories of the week, and as a special Valentine’s Day bonus, their favorite #HealthPolicyValentines.

When EHRs lack interoperability, investing in big data analytics can help smooth the path toward value-based care

Pumping cash into a single, unified EHR can be cost prohibitive, so it helps to get a broad, macro view of the data through automation.

Aligning stakeholders’ incentives in the shift to value-driven health

Singapore, Raffles Hospital.
Singapore’s bundle system has encouraged the shift to community-based care and prevention, with strong results.

Providers aren’t talking to patients about costs and it’s affecting patient satisfaction, VisitPay study shows

A third of respondents also said growing healthcare costs impact their ability to seek care, study says.