The quality of care for Medicaid beneficiaries in Rhode Island has improved and costs have declined since the state launched a Medicaid accountable care program, says Jim Fanale, chief clinical officer at Care New England.
Cases in which Rocky Mountain spotted fever has been diagnosed in pets but not in their owners who also had the disease highlight the importance of the One Health approach to public health, including fostering information sharing among health care providers, says Dr. Peter Rabinowitz, director of the Center for One Health Research at the University of Washington. "We feel that clinicians need to be aware of [the One Health initiative] and implement it in their daily practice," Rabinowitz said.
Safety-net hospitals received disproportionate penalties and payment adjustments in the Hospital Readmissions Reduction Program and the Hospital Value-Based Purchasing program, compared with other hospitals, according to a study in the Journal of the American Medical Association. The study found safety-net hospitals are closing the gap, however, and noted better performance in the HRRP program was linked to reduced readmission rates for heart failure and pneumonia.
Nineteen states are home to micro-hospitals, which typically range from 15,000 to 50,000 square feet with eight to ten hospital beds for short stays and a suite of services tailored to the needs of the local community. Advantages include shorter wait times, shorter stays and improved access to some care, but critics warn that the facilities may lack certain diagnostic or treatment capabilities and offer fewer opportunities for doctors to become proficient at less common procedures.
The Cook County, Ill., Medical Home Network links 1,600 primary care providers, 22 hospitals and more than 200 clinics serving high-risk Medicare and Medicaid beneficiaries, and Executive Director Cheryl Lulias says the health information exchange is gearing up to handle mobile apps. The move will expand patient engagement, health coaching capabilities, patient self-management and communication, Lulias says.
US hospital systems are tracking data and looking for ways to improve quality of care and patient outcomes, reduce readmissions and save money, said Jean Chenoweth of Truven Health Analytics, which released this year's 15 Top Health Systems along with IBM Watson Health. She says the trend shows value-based reimbursements are taking hold.
The US Preventive Services Task Force published updated guidelines in the Journal of the American Medical Association that call for all pregnant women to undergo routine blood pressure monitoring at every prenatal visit to screen for preeclampsia, regardless of whether they have a history of preeclampsia or high blood pressure. Separate guidelines call for pregnant women with a higher risk of preeclampsia to take low-dose aspirin after 12 weeks of pregnancy.
Obese postmenopausal women with a sedentary lifestyle who adopted a calorie-restricted diet for six months saw improved body composition and fat distribution, researchers reported in the journal Menopause. The study found 12 of 20 women with metabolic syndrome at baseline no longer had the condition but six out of 53 women who did not have metabolic syndrome at the start developed it by the end of the intervention.
Health plans have a long-standing commitment to improving the lives of individuals with asthma. A series of videos from AHIP highlights the partnerships and collaborations between health plans and community organizations to foster sustainable asthma management programs. See the value of health plan and community partnerships -- and more.
Don't miss out on early registration rates for Institute & Expo, June 7 through June 9 in Austin. Save even more when you take advantage of AHIP health plan member "buy two, receive one free" team discounts. The agenda is filled with great sessions and events, so bring a few colleagues and share the learning.