BHM Blog 2017-11-29T14:57:21+00:00

Sharing what we learn begins here

Medicaid Expansion Population Profile: Study for Payers

February 20th, 2018|Health Care Reform, Health Insurance, Health Insurance Exchange|

The Senate released its version (a.k.a. Better Care Reconciliation Act BCRA) of the House's AHCA. Payers and providers adjust as needed because healthcare reforms, like BCRA, AHCA, and ACA, continuously move through state and federal legislatures. Today's blog, pulls together summaries from numerous resources allowing you a quick glimpse or a deep dive into what waits around the corner. Here are 10 instances which can help you better identify when its time to look for a partner.

Innovations in Medicaid Managed Care Organizations

February 20th, 2018|Clinical Analysis, Clinical Operations Improvement, Medicare and Medicaid, Strategic Planning|

The first nationwide benchmark study measuring the health care industry’s progress in combating the opioid crisis was released. This important baseline analysis shows the positive steps clinicians and insurance plans have taken together – and identifies specific actions that can be taken to reduce addiction and abuse.

Benchmark Study On The Opioid Crisis

February 13th, 2018|Behavioral Health Integration, Care Coordination, Clinical Analysis, Clinical Operations Improvement, Strategic Planning|

The first nationwide benchmark study measuring the health care industry’s progress in combating the opioid crisis was released. This important baseline analysis shows the positive steps clinicians and insurance plans have taken together – and identifies specific actions that can be taken to reduce addiction and abuse.

Implementation Of Telehealth Services Update: Survey

February 13th, 2018|Telehealth and Telemedicine, Uncategorized|

A new survey exams the attitudes, perspectives, and plans of healthcare leadership that are shaping telemedicine’s application, value, and potential. The research explored telehealth services adoption rates and drivers, budgets and ROI, the technology’s role in delivering care, and the factors important to executives when selecting a solution for their organization.

Flaws Found in Recent 340B Study? AHA Responds To NEJM

February 6th, 2018|Big Data, Managed Care, Trends|

The shift under way in payment in US health care - from volume to value - has sparked interest in new contracting arrangements to pay for prescription drugs. The objective of these new arrangements is to reward successful outcomes of medication use in patients, rather than pay based on the volume of drugs sold. Unfortunately, value-based contract barriers stand in the way of one approach to managing drug costs and obtaining better value for money spent. However, achieving the full potential of these contracts will necessitate regulatory and other changes.

Medical Texting: Rx Refill Rates Increase and Privacy Warnings

February 6th, 2018|Care Coordination, Clinical Analysis, Clinical Operations Improvement|

For payers, identifying doctors who write more opioid prescriptions can be key for any successful opioid management program. Using the one factor influencing opioid prescription habits, payers can target education improving the overall provider network performance. Physicians trained at the United States’ lowest-ranked medical schools write more opioid prescriptions than physicians trained at the highest-ranked schools, according to a study by Princeton University.

Medicaid Expansion Linked To Better Clinical Care

January 25th, 2018|Managed Care, Medicare and Medicaid|

ACA Medicaid expansion, was associated with an increased probability of patients presenting with less complicated surgical disease and a greater likelihood of patients receiving optimal surgical management after admission and linked to better access to surgery and higher quality surgical care, according to a new study from Harvard T.H. Chan School of Public Health.

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