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SNFs Need Real-Time Data To Succeed. snf需要实时数据才能成功。
Managed Care Pub Date : 2019-05-01
Thomas Martin
{"title":"SNFs Need Real-Time Data To Succeed.","authors":"Thomas Martin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The need for real-time data in health care is universal, but it is particularly pressing for post-acute providers, who are now joining their hospital and health system peers in being held responsible for patient outcomes. CMS is watching.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 5","pages":"49"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37324775","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
Medicare for All Should Not Be One Size Fits All. 全民医保不应该一刀切。
Managed Care Pub Date : 2019-05-01
Deborah D Gordon
{"title":"Medicare for All Should Not Be One Size Fits All.","authors":"Deborah D Gordon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>For Medicare for all to truly work for all Americans it must do more than provide uniform, basic insurance. In health care, as in fashion, consumers need different options. To truly reform health care, solutions must allow customization and consumer choice.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 5","pages":"44-46"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37324773","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
The Urgent Care Surge. 紧急护理激增。
Managed Care Pub Date : 2019-05-01
Joseph Burns
{"title":"The Urgent Care Surge.","authors":"Joseph Burns","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As of November 2018, there were 8,774 such centers in the U.S, up 8% from 8,125 in 2017, according to the Urgent Care Association. And although they are not exclusively for people with insurance, just under half (47%) of the patients seen in urgent care centers are covered by commercial insurance.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 5","pages":"38-43"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37324772","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
Modest, at best: The effect of getting rid of copays for antiplatelet drugs. 充其量是适度的:消除抗血小板药物费用的影响。
Managed Care Pub Date : 2019-05-01
Peter Wehrwein
{"title":"Modest, at best: The effect of getting rid of copays for antiplatelet drugs.","authors":"Peter Wehrwein","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A study designed to test whether eliminating copays would improve adherence to antiplatelet therapy showed that, yes, indeed, it does. But the results also showed no reduction in major cardiovascular events among those who stuck with the medication.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 5","pages":"19"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37324768","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
Lower Copays Sweeten Outcomes-based Deal for Brilinta. 较低的费用增加了Brilinta的交易结果。
Managed Care Pub Date : 2019-05-01
Ed Silverman
{"title":"Lower Copays Sweeten Outcomes-based Deal for Brilinta.","authors":"Ed Silverman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>UPMC Health Plan gets a discount if a patient on Brilinta has a heart attack or stroke. The novel sweetener is that UPMC will lower the monthly copay for Brilinta from $45 to $10, which means the patient cost will be about the same as it is for generic Plavix.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 5","pages":"18-19"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37324767","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
Prices: High, Confusing, and Opaque. Would Transparency Even Help? 价格:高、混乱、不透明。透明度会有帮助吗?
Managed Care Pub Date : 2019-05-01
Timothy Kelley
{"title":"Prices: High, Confusing, and Opaque. Would Transparency Even Help?","authors":"Timothy Kelley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Too often, the prices of health care services and drugs are cloaked in mystery. A growing consensus demands that patients be given a clearer sense, in advance, of what things will cost. But there are obstacles-and some stakeholders benefit from the present confusion.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 5","pages":"24-29"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37324769","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
Interopera-impossibility? Interopera-impossibility吗?
Managed Care Pub Date : 2019-05-01
Jan Greene
{"title":"Interopera-impossibility?","authors":"Jan Greene","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>CMS wants Medicare Advantage plans to provide enrollees with immediate access to their health information starting in 2020. But you can't always get what you want. Insurers are especially worried about programming interface software that will allow their databases to share information with third parties, such as mobile apps.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 5","pages":"30-34"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37324770","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
PBMs: Criticized But Still Needed. 药品福利管理:受到批评，但仍然需要。
Managed Care Pub Date : 2019-05-01
Dea Belazi
{"title":"PBMs: Criticized But Still Needed.","authors":"Dea Belazi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>PBMs can play an important role in the pharmaceutical supply chain and are positioned to protect consumers and save them out-of-pocket costs. The emergence of new PBMs, whether inside or outside an insurer, should drive new solutions and the development of new models.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 5","pages":"47"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37324774","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
To Be Continued:The Search for a Cure for HIV. 待续:寻找治愈艾滋病毒的方法。
Managed Care Pub Date : 2019-04-01
Thomas Reinke
{"title":"To Be Continued:The Search for a Cure for HIV.","authors":"Thomas Reinke","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Effective treatment has helped curb the epidemic, but practical cures have been elusive. Now being tested: a \"sterilizing cure\" that eradicates HIV from the body, and a \"functional cure\" that effectively reduces the viral load so it cannot be transmitted or progress to AIDS.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 4","pages":"35-36"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37319588","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
Under Azar and Boehler, CMMI Gets Its Groove Back. 在阿扎尔和博纳的领导下，CMMI重回正轨。
Managed Care Pub Date : 2019-04-01
Richard Mark Kirkner
{"title":"Under Azar and Boehler, CMMI Gets Its Groove Back.","authors":"Richard Mark Kirkner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>It seems that under HHS Secretary Alex Azar, the Center for Medicare and Medicaid Innovation-that ACA-enabled office given almost carte-blanche authority to experiment with new payment and care models-may be getting its groove back. Adam Boehler, hired last April as CMMI director, has cranked up output with a flurry of new models.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 4","pages":"14-15"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37324776","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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