Obstetrics bundled-care models are young but growing | Researchers find racial disparity in children's access to mental health care | Providers work with ride-hailing services get patients to medical appointments
August 16, 2016
AHIP Solutions SmartBrief
Top Stories
Obstetrics bundled-care models are young but growing
Obstetrics bundled-care models are young but growing.
(Ian Waldie/Getty Images)
A recent paper from the Health Care Payment Learning and Action Network cited maternity care as one of three clinical episodes conducive to a bundled model, but few Medicaid managed-care administrators are testing bundled maternity care. Challenges include deciding what should trigger the bundle, at what points the bundle should begin and end, whether to begin with prenatal care, how health care providers should assume risk, and whether to include high-risk pregnancies.
Modern Healthcare (tiered subscription model) (8/13) 
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Researchers find racial disparity in children's access to mental health care
Researchers find racial disparity in children's access to mental health care.
(Patrick Hertzog/AFP/Getty Images)
Mental health care utilization among children and teenagers appears to be inadequate, particularly for black and Hispanic youths, according to an analysis of federal data collected from 2006 to 2012. Data show rates of mental illness are consistent across all racial groups, but only 2.3% of young Hispanic or black people see a mental health specialist, compared with 5.7% of white children, researchers report in the International Journal of Health Services.
Kaiser Health News (8/12) 
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Providers & Suppliers
Providers work with ride-hailing services get patients to medical appointments
Poor access to transportation is a major barrier to health care as well as a drain on provider finances, so a number of health systems and hospitals are starting partnerships with ride-service companies to help patients keep appointments. MedStar Health in Maryland, Hackensack UMC in New Jersey and Sarasota Memorial Hospital in Florida have partnered with Uber, while National MedTrans Network worked with Lyft to expand its services in New York, California and Nevada.
The Atlantic online (8/15) 
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Medical Update
Study: Depression often underdiagnosed or poorly treated in older adults
A study in the American Journal of Geriatric Psychiatry finds depression often is underdiagnosed, untreated or inappropriately treated in adults ages 60 and older. Iqbal Ahmed, M.D., of the Uniformed Services University of Health Sciences in Maryland, commented that solutions may include efforts to reduce the stigma of mental illness, better physician education, and more widespread screening using questionnaires such as the Geriatric Depression Scale.
Medscape (free registration) (8/12) 
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Study ties metformin use to improved survival with colorectal cancer
A review of data on 21,352 veterans with colorectal cancer found that those who used metformin had a 13% increase in overall survival rates compared with those who used other antidiabetic medications. The findings were published in the journal Cancer Epidemiology, Biomarkers & Prevention.
Oncology Nurse Advisor online (8/12) 
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Emerging Trends
Puerto Rico under state of "public health emergency" due to Zika
The HHS has declared a "public health emergency" in Puerto Rico due to the public health threat from the spread of the Zika virus. The declaration will allow the Obama administration to provide more support to the government of Puerto Rico as the number of confirmed Zika cases has reached 10,690, which includes 1,035 pregnant women, according to the HHS.
The Hill (8/12) 
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Confirmed Zika cases in Fla. rise to 441
Three new cases of Zika virus infection caused by local mosquito transmission have been confirmed by Florida officials, including one individual from Palm Beach County. Florida now has reported 413 travel-related cases of Zika infection and 28 cases of non-travel-related Zika.
Reuters (8/12) 
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Health Insurance Plan Company News
Do you struggle with provider credentialing & recredentialing?
Does your health plan struggle with provider credentialing or recredentialing? Download a one-page fact sheet to learn how you can:
• cut credentialing turnaround time by up to 94%
• eliminate credentialing backlogs
• ensure NCQA compliance
• improve provider-payer relationships
• and clean up your provider directory in less than 30 days
Solutions Provider News
Federal marketplace training for agents and brokers
Tens of thousands of agents and brokers have taken AHIP's Medicare Advantage Marketing + Fraud Waste & Abuse training. Now AHIP has a Federal Marketplace Training program to assist in preparations for the 2017 Open Enrollment season, starting Nov. 1. Get details about AHIP's program at www.ahip.org/FFM or visit the CMS site to learn more about registering. Registration is now open!
Pharma News
ICell's CAR T-cell therapy gains FDA orphan status
iCell Gene Therapeutics' CD4CAR, chimeric antigen receptor engineered T cells that target CD4 protein, has received orphan drug designation from the FDA. The drug is designed to treat peripheral T-cell lymphoma.
News-Medical.Net (8/12) 
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Policy Watch
CMS proposes more flexibility in dual-eligibles program
The CMS proposed allowing primary care providers who are not physicians to provide some services under the Programs of All-Inclusive Care for the Elderly, an integrated care model for people who qualify for both Medicare and Medicaid and meet certain other criteria. The CMS also proposed allowing individual care team members to fulfill more than one role on the team and participate in more aspects of patients' care.
Modern Healthcare (tiered subscription model) (8/11) 
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Telehealth, rural health care centers to receive $16M from HRSA
The HHS' Health Resources and Services Administration will award $16 million to help support telehealth and health care quality improvement activities in 60 rural communities within 32 states and seven Rural Health Research Centers. The Telehealth Network grant program will receive around $6.3 million, 21 community health organizations will each receive $300,000 per year for three years, and the Rural Health Research Centers will each receive $700,000 annually for four years.
Healthcare IT News (8/12) 
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Registration open for Consumer Experience & Digital Health Forum
As health care continues to be more consumer focused, find answers to what steps to take today and beyond to become a brand leader and turn your customers into loyal advocates for your organization. Register for AHIP's Consumer Experience & Digital Health Forum, Dec. 6-8 in Chicago.
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AHIP’s top blog posts from July 2016
In July we celebrated 51 years of Medicare and Medicaid and one year since Marilyn Tavenner joined America’s Health Insurance Plans as our president and CEO. As we begin a new month, take a look at some of July’s greatest hits on the AHIP blog.
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AHIP Select: Leading solutions providers
AHIP members rely on AHIP Select members to provide the products and services that help health plans transform our health care industry. Become a Select member for direct access to health plan decision makers. Contact our Business Affairs Team at BusinessDevelopment@ahip.org for details.
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