BHM Blog - Page 34 of 132 - BHM Healthcare Solutions

Medicaid Expansion Population Profile: Study for Payers

2018-02-20T20:31:42-04:00By Emily Immer|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

2018-02-20T23:01:08-04:00By Emily Immer|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

2018-02-13T23:18:25-04:00By Emily Immer|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

2018-02-13T20:23:13-04:00By Emily Immer|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

2018-02-06T20:07:26-04:00By Emily Immer|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

2018-02-06T20:10:04-04:00By Emily Immer|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.

Medicare Advantage Provider Directory Failures Up To 52%

2018-01-31T00:32:27-04:00By Emily Immer|Financial, Medicare and Medicaid|

In its second round of online provider directory reviews, the Centers for Medicare & Medicaid Services found that 52% of the Medicare Advantage provider directory locations listed had at least one inaccuracy.

Kentucky Medicaid Lawsuit Guide: 5 Things To Know

2018-01-31T00:28:11-04:00By Emily Immer|Managed Care, Medicare and Medicaid|

On January 24, 2018, 15 Kentucky Medicaid enrollees filed a lawsuit in the U.S. District Court for the District of Columbia challenging CMS’s authority to issue the work requirement policy and approve the Kentucky waiver. This issue brief answers 5 key questions about the Kentucky Medicaid Lawsuit.

Medicaid Expansion Linked To Better Clinical Care

2018-01-25T22:58:40-04:00By Eric Duchinsky|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.

New Report: Telemedicine Consults Save $500 Per Patient

2018-01-23T19:02:37-04:00By Emily Immer|Telehealth and Telemedicine, Uncategorized|

The cost savings demonstrated in this study will support state Medicaid agencies, payers, and other health systems seeking new ways to improve access and quality while reducing telemedicine consults cost.

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