Topic:

Quality Improvement & Outcomes

Latest Headlines

Latest Headlines

ACA architect claims law forced states to build exchanges

Jonathan Gruber, a professor at Massachusetts Institute of Technology who advised the Obama administration when developing the Affordable Care Act in 2009, claimed the federal government would not help states that did not create their own exchanges to politically pressure them to do so.

States want to use health reform funds in 2015

Due to constantly changing technical requirements and demands from the Obama administration, states running their own exchanges want more time to spend their federal dollars, reports PoliticoPro.

Palliative care coverage: Connecting the dots

FierceHealthPayer spoke with Torrie Fields (pictured), Cambia's program director for serious illness and palliative care. She describes the specifics behind Cambia's palliative care program, which began July 1 and is available to its more than 2 million members, and how it helps members have the difficult conversations around end-of-life care.

Cambia Health CEO Mark Ganz on the cutting edge of end-of-life care

To learn more about Cambia's palliative care program, which facilitates members' healthcare needs from wellness through completion of life, FierceHealthPayer spoke with Cambia CEO Mark Ganz in an exclusive interview.

Former CMS head talks accountable care ROI

Both payers and providers can reap financial returns from ACO efforts, former Centers for Medicare & Medicaid Services Administrator and current Director of the Health Care Innovation and Value Initiative at the Brookings Institution Mark McClellan, M.D., Ph.D., told AAFP News.

Insurers worry ACA loophole could lead to unpaid premiums, bad debt

Thanks to a loophole in the Affordable Care Act regulations, insurers worry customers who purchased plans on the federal marketplace could evade paying their December premiums, reports Vox.

Cut prescription drug prices to achieve Medicare savings

Given the recent surge in pricey prescription drugs, lawmakers are calling for Medicare to offer rebates and negotiate prices to reap significant savings, according to a report released Wednesday by advocacy groups the Medicare Rights Center and Social Security Works.

GAO: Fake ACA applicants secure subsidized coverage

Government investigators have been able to purchase health plans and obtain federal subsidies using fake applicantions, according to findings that will be released today, reports The Washington Post.

States on board with HSAs for Medicaid

Some states may implement  health savings accounts (HSA) for their Medicaid programs next year, reports  NPR.  Michigan and Indiana already allow beneficiaries to use funds supplemented by the state to pay for services and require monthly contributions to their health independence accounts.

Study: Multipayer medical home only reaped limited improvements

A multipayer patient-centered medical home pilot in Pennsylvania led to only limited improvements in quality and failed to reduce unnecessary medical utilization, according to an article published in the  Journal of the American Medical Association.