Bringing PREMs and PROMs Into Value-Based Care
CMS Innovation Center leading the way on including patient-reported measures in payment models
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CommonWell: Addition of Labcorp Is Spurring FHIR Adoption
Labcorp’s addition to the network has become a driver for deploying FHIR data exchange at scale for testing among members
Unpacking the FDA’s Non-Recall Recalls
When the Agriculture Department posted a recall of chicken nuggets that might be contaminated, it directed consumers to return them or throw the stuff away. When the Consumer Product Safety Commission announced that poorly designed baby loungers could suffocate babies, it warned consumers to immediately stop using them. But when it comes to medical devices,…
Effective diagnostic processes and patient safety means not having to ask “What if”
“What If” I was seen, heard, and treated like a partner? Regarded as the greatest English novelist during the Victorian Era, Charles Dickens once said, “It was the best of times, it was the worst of times, it was the age of wisdom, it was the age of foolishness.” Those words never rang truer than…
Millions are Taking a Drug that Falls Short of its Promise to Lower Risk of Heart Attack
While fibrates are proven to lower triglyceride levels, which can serve as a biomarker for cardiovascular disease risk, several major clinical studies from the past 20 years have failed to show a benefit of fenofibrates over and above statins in further reducing heart-related events. The post Millions are Taking a Drug that Falls Short of…
The FDA Isn’t Blocking Medical Breakthroughs — Our Outdated Innovation Model Is
The current model of siloed, proprietary development is failing us. It’s slow, expensive, and often results in technologies that never see the light of day. What if, instead, we embraced an open-source approach to medical device innovation? The post The FDA Isn’t Blocking Medical Breakthroughs — Our Outdated Innovation Model Is appeared first on MedCity…
State of Claims 2024: Insights from survey findings
Despite increased access to claims management technology, claims denials are still on the rise in 2024. Contributing factors include growing healthcare costs, stricter payer reimbursement policies, and claims processing errors. Providers are seeing an uptick in nonpayment, plus an added burden on administrative staff, disrupted patient care, and hits to the bottom line. Experian Health…
Arkansas’ Governor Says Medicaid Extension for New Moms Isn’t Needed
Six weeks after an emergency cesarean section, with her newborn twins still in neonatal intensive care, Maya Gobara went to a pharmacy in West Little Rock, Arkansas, to fill a prescription. “The pharmacy told me I didn’t have insurance,” Gobara said. Arkansas is the only state that has not taken the step to expand what’s…
California May Regulate and Restrict Pharmaceutical Brokers
SACRAMENTO, Calif. — California Gov. Gavin Newsom will soon decide whether the most populous U.S. state will join 25 others in regulating the middlemen known as pharmacy benefit managers, or PBMs, whom many policymakers blame for the soaring cost of prescription drugs. PBMs have been under fire for years for alleged profiteering and anticompetitive conduct,…
Tennessee Tries To Rein In Ballad’s Hospital Monopoly After Years of Problems
Ballad Health, an Appalachian company with the nation’s largest state-sanctioned hospital monopoly, may soon be required to improve its quality of care or face the possibility of being broken up. Government documents obtained by KFF Health News reveal that Tennessee officials, in closed-door negotiations, are attempting to hold the monopoly more accountable after years of…