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As Health Care Landscape Shifts, Stakeholders Need To Shift as Well. 随着医疗保健格局的变化，利益相关者也需要改变。
Managed Care Pub Date : 2019-06-01
F Randy Vogenberg
{"title":"As Health Care Landscape Shifts, Stakeholders Need To Shift as Well.","authors":"F Randy Vogenberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Change is happening on multiple fronts and at a faster pace than ever before. Stakeholders that ignore or minimize it will do so at their peril. To be clear, addressing organizational change or purpose internally, as well as external positioning today, is the more likely path to success.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 6","pages":"45"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37324763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
3 Steps to a Strong Pricing Strategy. 制定强大定价策略的3个步骤。
Managed Care Pub Date : 2019-06-01
Michelle Yu
{"title":"3 Steps to a Strong Pricing Strategy.","authors":"Michelle Yu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The need for a strong pricing strategy is a foregone conclusion. Hospitals and health systems have a window of opportunity now to craft a thoughtful approach to pricing that avoids common pitfalls and ultimately creates a competitive advantage in the market.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 6","pages":"49"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37324765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
EDs Getting Ready To Dive Into Value-based Payment Waters. 电子邮件公司准备进入基于价值的支付领域。
Managed Care Pub Date : 2019-06-01
Jan Greene
{"title":"EDs Getting Ready To Dive Into Value-based Payment Waters.","authors":"Jan Greene","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The American College of Emergency Physicians pushes a payment model that would have ED doctors tracking patients for 30 days after discharge. CMS may adopt it for Medicare. Meanwhile, emergency medical groups interested in participating will need to learn the ropes of care coordination.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 6","pages":"40-43"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37324762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
911 Doesn't Need To Mean a Trip to the ED. 911并不意味着要去急诊室。
Managed Care Pub Date : 2019-06-01
Michael D Dalzell
{"title":"911 Doesn't Need To Mean a Trip to the ED.","authors":"Michael D Dalzell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Emergency Triage, Treat, and Transport, or ET3, pilot would empower EMS crews to treat patients at the scene of a call (sometimes with the help of telehealth) or take a patient to an alternative site like an urgent care facility or a doctor's office.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 6","pages":"23-25"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37059564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Can ICER bring cost-effectiveness to drug prices? ICER能给药品价格带来成本效益吗?
Managed Care Pub Date : 2019-06-01
Lola Butcher
{"title":"Can ICER bring cost-effectiveness to drug prices?","authors":"Lola Butcher","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Insurers and some drug manufacturers are turning to the Institute for Clinical and Economic Review (ICER) as the arbiter of drug prices, especially as prices soar and value is sought. But questions persist about the cost-effectiveness calculations of the Boston not-for-profit and its dependence on QALYs.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 6","pages":"30-33"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37059565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Even Small Employers Are Striking Out on Their Own. 即使是小雇主也在自力更生。
Managed Care Pub Date : 2019-06-01
Jan Greene
{"title":"Even Small Employers Are Striking Out on Their Own.","authors":"Jan Greene","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Several factors are at work. Group health insurance got more expensive when the ACA mandated essential health benefits and no-cost preventive care. Some small companies dropped coverage altogether, but now they are coming back into the fold as the employment market has tightened up, say brokers. Starting fresh, they have a chance to consider self-insurance.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 6","pages":"34-36"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37059566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Mismatch Made in America. 美国制造的错配。
Managed Care Pub Date : 2019-06-01
Lola Butcher
{"title":"A Mismatch Made in America.","authors":"Lola Butcher","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>When patients and their medical records are out of whack, it causes harm and wastes money. It gets worse when organizations try to share patient records. Even if two facilities share the same EHR system, match rates may be as low as 50%. Privacy concerns makes this problem difficult to fix.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 6","pages":"37-39"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37324761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Buckeye Bullseye on the Backs of PBMs. 七叶树靶心在pbm的背上。
Managed Care Pub Date : 2019-06-01
Joseph Burns
{"title":"Buckeye Bullseye on the Backs of PBMs.","authors":"Joseph Burns","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A newspaper series and a state audit put a spotlight on PBM practices in Ohio. PBMs may not like it, but it seems that much more may come to light about what used to be an obscure corner of the business of American health care.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 6","pages":"18-22"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37059562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
At 30, Stark Law Chugs Along But It's Overdue for Repairs. 30岁的斯塔克劳(Stark Law)仍在蹒跚前行，但早就该修缮了。
Managed Care Pub Date : 2019-05-01
Richard Mark Kirkner
{"title":"At 30, Stark Law Chugs Along But It's Overdue for Repairs.","authors":"Richard Mark Kirkner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The law is supposed to keep physicians from unduly profiting from referrals. But CMS Administrator Seema Verma thinks that it \"may prohibit some relationships that are designed to enhance care coordination, improve quality, and reduce waste,\" and thereby become an obstacle to ACOs and value-based care.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 5","pages":"16-17"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37324766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beware of the CAR-T Hitches. 小心CAR-T的“搭车”。
Managed Care Pub Date : 2019-05-01
Susan Ladika
{"title":"Beware of the CAR-T Hitches.","authors":"Susan Ladika","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The two CAR-T therapies approved for certain blood cancers have price tags of $475,000 and $373,000-and those prices don't include other costs for services that are integral to the treatments, such as harvesting a patient's T cells. Moreover, patients typically have a lengthy hospital stay after treatment.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 5","pages":"35-37"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37324771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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