One star can add up to millions of dollars in bonuses. Not only that, but high-achieving plans can enroll beneficiaries all year round. It all comes down to quality, and medical directors who specialize in quality assurance will especially be in the hot seat.
The pioneering advocate of the Transitional Care Model for older adults and their caregivers says that her approach is getting more attention in the health reform era. Accountable care organizations are among the interested groups. Why? It’s all about the evidence, she insists.
Their effect on health plans is unclear, as stakeholders explore options and alternative models for sharing vital diagnosis and treatment information. There are also significant concerns about the uncertainty of national standards of interoperability. Public exchanges, especially, are struggling.
Alzheimer’s and other dementias pose an enormous economic threat, but for now, the task force says, routine screening is unwarranted
Health care systems join NIH in studying significance of mutations
Is it a simple matter of pay for volume vs. pay for value, or is the situation far more complicated?
Medication is aimed at leptin deficiency, but clinical trials may be hard for managed care plans to evaluate properly