Policy and Legislation
With Medicare enrollment and spending set to grow in the coming decades, the program needs to better spread risk and incentivize value and also needs a better statutory definition of cost-benefit considerations, researchers argue in the latest issue of the New England Journal of Medicine.
Despite President Barack Obama's victory over Republican challenger Mitt Romney, a significant amount of work must be accomplished in the next four years to ensure that the next president cannot uproot the ACA via "repeal and replace."
Because healthcare providers operate in a highly regulated industry, most recognize that it is more a question of when, rather than if, they will be subject to a government investigation.
Since the Affordable Care Act was created, critics have argued that the healthcare law fails to contain healthcare costs. A new brief from the Urban Institute presents evidence illustrating the ACA's cost containment measures, but leaves room for the debate to continue.
The National Quality Forum (NQF) announced Monday it has endorsed 10 behavioral health quality measures aimed at addressing such issues as alcohol and tobacco abuse, antipsychotic medication adherence and follow-up after hospitalization for mental illness.
A new global study by the IMS Institute for Healthcare Informatics identifies six levers that can be used to increase medication adherence, possibly saving some $500 billion in healthcare spending worldwide.
Physicians who treat Medicaid patients will get a pay raise in two months when Medicaid reimbursement rates becoming equal to Medicare reimbursement rates for primary care services.
On Thursday, the American Hospital Association (AHA) and four other hospital systems filed a suit against the U.S. Department of Health and Human Services (HHS) for refusing to meet its financial obligations for hospital care services provided to certain Medicare patients.
As the federal government evaluates state demonstrations for providing Medicare-Medicaid eligible Americans with better, more cost-effective care, a new study suggests that large savings will be elusive without specialized models and some improvisation.
With concern over primary care shortages not likely to abate any time soon, the debate over using nurse practitioners to fill in the gaps continues. A new policy brief released by Health Affairs last month outlines the issues.