BHM Blog 2018-05-29T11:51:58+00:00

Sharing what we learn begins here

Survey Shows ACA Support But Enrollees Are Anxious

March 6th, 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.

Opioid Epidemic Slows At Pharmacy Level With Health Plan Help

February 27th, 2018|Behavioral Health Integration, Care Coordination, Clinical Analysis, Clinical Operations Improvement, Strategic Planning|

WEA Trust, a Wisconsin-based not-for-profit insurer, does that by protecting patients prescribed opioids for the first time. Its pharmacy utilization management program limits initial opioid prescriptions to a seven-day supply. WEA Trust also collaborates with providers to ensure opioid prescriptions are evidence-based and medically appropriate. In just five months, opiate prescriptions dropped 27 percent, with 91,000 fewer pills dispensed.

Telehealth Policy Barriers To Observe And Overcome

February 27th, 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.

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.

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