Topic:

Quality Improvement & Outcomes

Latest Headlines

Latest Headlines

Obesity coverage could cut chronic condition costs

More than nine months since the American Medical Association declared obesity a disease, federal law still forbids Medicare from covering obesity medications. But coverage of obesity under Medicare and other insurance plans could slow the rate of chronic diseases and reduce the long-term costs of obesity-related chronic conditions.

Seasonal employees may lose coverage

Thousands of variable-hour employees--workers whose hours change on a weekly or seasonal basis--could soon lose their healthcare benefits, reports the Wall Street Journal.

Va. Medicaid expansion draws insurer support

In Virginia, the debate regarding Medicaid expansion continues, reports the Associated Press. If the state decides to expand Medicaid to about 400,000 low-income residents, those eligible will have private insurance paid for with federal funds.

Insurers keep watchful eye on costly diabetic members

Now more than ever insurers are monitoring their diabetic patients to ensure they don't miss appointments or forget to fill up prescriptions, reports the Associated Press.

Medical home must-dos for population health management

The growing population health movement has led insurers and providers to patient-centered medical homes (PCMH), accountable care organizations and other integrated care models to improve the outcomes and reduce the costs for patient populations.

Will reform bring better health to newly insured?

We now know the uninsured rate has reached a record low thanks to the Affordable Care Act, but it remains unclear whether the millions of newly insured people will actually become healthier and, therefore, reduce overall costs, reported The Health Care Blog.

Specialty drug use high among exchange enrollees

New enrollees who purchased coverage through state and federal marketplaces are more likely to use specialty medications, such as those used to treat HIV/AIDs and hepatitis C, than people enrolled in commercial health plans, Express Scripts research finds.

Physician availability depends on coverage type

Despite coverage expansion under the Affordable Care Act, the law does not guarantee physicians' availability or willingness to accept a patient's form of insurance, a new study from JAMA New Medicine finds.

Michigan joins Medicare-Medicaid integration trend

The Centers for Medicare & Medicaid Services has partnered with Michigan to test efforts to improve care and contain costs for Medicare-Medicaid enrollees.

7 milllion enrollees doesn't guarantee reform success

Even though 7 million people have enrolled for coverage under the Affordable Care Act, big challenges loom for the next enrollment period, which opens on Nov. 15, reports the Associated Press. One notable challenge is how to keep premium prices low despite expected increases for 2015.