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Medicare, Medicaid, Health Reform

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Monthly Archives: November 2009

Health Care Payment Reform: Considerations for Global Payments in Medicaid

Payment reform is an integral part of national and state-based health reform efforts. Indeed, payment reform is essential to moving from quantity-based reimbursement to a performance-based health care system. That is, moving from fee-for-service to fee-for-value. Payment innovations, such as global payment, are designed to reward efficiency and higher quality, while supporting providers as they invest in patient-centered models...

American Health and Drug Benefits: September – October 2009 Issue

Here are articles from the latest issue of American Health & Drug Benefits. AHDB is a peer-reviewed journal for 30,000 decision makers in health plans, PBMs, Medicare, Medicaid, and the pharma and biotech industries: Predictive and Prognostic Models: Implications for Healthcare Decision-Making in a Modern Recession: F. Randy Vogenberg, RPh, PhD examines the role of predictive modeling in the healthcare decision-making...

Stroke Prevention and Management: New Artices from Leading Experts

A series of new articles from the journal American Health and Drug Benefits address key issues in stroke prevention and management, with a special focus on transient ischemic attacks. A transient ischemic attack (TIA), a transient stroke that lasts only a few minutes, can be a warning sign that a person is at risk for a more serious, debilitating,...

Legislative Process for Health Care Reform

The legislative process for health care reform bills is complex, involving a series of unique steps needed in the House and Senate. My friends at Sellers Dorsey have prepared a concise, helpful outline of the next steps required for passage of a health reform bill. This includes the specific steps required by the House, Senate, House-Senate conference committee, and...

Medicare Reimbursement: Primers on Medicare Payment Methods for Providers, Health Plans, and Drug Plans

The Medicare Payment Advisory Commission (MedPAC) has updated its excellent series of reader-friendly primers on Medicare payment methodologies for hospitals, physicians, Medicare Advantage plans, prescription drug plans, and other health care providers. MedPAC is an advisory agency to Congress and is highly influential, particlarly on payment methods, delivery systems, and Medicare reforms. Medicare Part A Reimbursement of Hospitals: Medicare Inpatient Prospective...

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