Guidance details how states can use Medicaid funds to fight opioid crisis | Study shows healthy diets could have big economic impact | Report reveals trends in AI adoption, investment in health care
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June 12, 2018
AHIP Solutions SmartBrief
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Guidance details how states can use Medicaid funds to fight opioid crisis
The CMS on Monday unveiled guidance on how states can use federal Medicaid funding to support health information technology efforts including telemedicine programs, EHR systems and prescription monitoring tools to combat the opioid abuse crisis. Another CMS guidance, released the same day, details how Medicaid funding can be leveraged in designing treatment approaches for infants with neonatal abstinence syndrome.
The Hill (6/11),  Healthcare Finance (6/11),  MedPage Today (free registration) (6/11) 
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Study shows healthy diets could have big economic impact
If 20% more Americans stuck to a healthy diet, the nation would save more than $20 billion in direct and indirect costs associated with heart disease, cancer, type 2 diabetes, stroke, hip fracture, Alzheimer's disease and other conditions, according to a study scheduled to be presented at the American Society for Nutrition's annual meeting. The study indicates that educating Americans on how to improve their diet quality would be financially worthwhile, said lead author Carolyn Scrafford.
HealthDay News (6/10) 
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Predictive modeling for early intervention
Health plans are leveraging intelligent automation services and processes based on machine learning and cognitive computing to positively affect member health and reduce healthcare costs. Learn how one health plan obtained predictive insights in three days using advanced machine learning. Watch the video.
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Providers & Suppliers
Report reveals trends in AI adoption, investment in health care
An Accenture report showed that 53% of surveyed C-suite executives from 100 health care organizations have plans to invest in artificial intelligence systems, while 86% have not yet invested in capabilities to verify data sources. Eighty-one percent of respondents reported being unprepared for any potential liability and social issues related to AI-based decisions, while 73% are planning to create AI-related ethical standards within their organizations, the report found.
Becker's Health IT & CIO Report (6/11) 
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Study examines link between MOC status, physician performance measures
Researchers found that 58.4% of Healthcare Effectiveness Data and Information Set-eligible patients of physicians who maintained certification under the American Board of Internal Medicine's Maintenance of Certification program completed semiannual HbA1C testing, compared with 54.4% of those whose physicians did not maintain certification. The findings, published in the Annals of Internal Medicine and based on 1,260 general internists, also showed that more diabetes patients of physicians who maintained certification met all three diabetic standpoints and the annual standard for LDL cholesterol measurement.
Physician's Briefing/HealthDay News (6/11) 
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HSA Bank Health & Wealth IndexSM
The HSA Bank Health & Wealth IndexSM reveals how modern-day consumers are faring when it comes to financial and physical health and provides insights into their behaviors and level of engagement. Download the report to see the compelling results.
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Medical Update
Few adults receive all recommended preventive health services
A study in Health Affairs showed only 8% of almost 2,800 surveyed US adults older than 35 were receiving all of the 15 highly recommended preventive services with the greatest potential for enhancing their health, including osteoporosis screening, blood pressure checks, vaccinations and tobacco use counseling. "For the most people to benefit from preventive care, the health care system needs to work together to encourage innovation on how care is delivered, how we can use new technology and how we can tailor improvements to meet the needs of local communities," said study lead author Amanda Borsky.
Reuters (6/11) 
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Researchers find positive health effects from coffee, eggs, mushrooms
Studies presented at the American Society for Nutrition conference found inverse associations between coffee consumption and liver disease, egg consumption and blood glucose levels, mushroom consumption and inflammation, and low-fat, fermented dairy product consumption and colorectal cancer. Researchers also found that eating a handful of pecans daily produced changes in serum insulin levels and insulin resistance, and diets high in vegetables might reduce the risk of Parkinson's disease.
Healio (free registration) (6/11),  HealthDay News (6/11) 
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Catch up on Care Management before AHIP
Gartner's Market Guide outlines major insights for payer-specific tech solutions. Gain vital information prior to the conference by reading this definitive report. Come by our booth to continue the conversation and discover how our award-winning care management solution is built for change.
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Emerging Trends
Automation of some basic tasks may benefit health care practices
Automation can help improve the ordering process within EHR systems for physicians and enrich EHRs, leading to enhanced patient care and reduced physician frustration, writes Josh Gluck, a vice president at Pure Storage. Gluck notes that automation is also used to adjust staffing in health systems and generate bills more quickly.
HealthTech (6/11) 
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Are you meeting member expectations?
As the consumerization of healthcare continues, so does the demand for convenience, accuracy and personalization in the health benefits experience. Artificial intelligence can help healthcare payers meet consumer demand by driving fast, personalized interactions to boost engagement. Hear from our thought leaders.
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Health Insurance Provider Company News
New Healthcare Matters: Industry trends tailored to you
Get the new Spring edition of Healthcare Matters with top-of-mind market trends and insights for payers. We tackle 3 bottom-line related topics: quantifying and reducing clinical variance, contract management tech solutions and metrics reporting for value-based care initiatives. Get your copy.
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Solutions Provider News
AHIP Medicaid, Medicare, Duals: Register now
Gain fresh insight into health care's biggest challenges. At AHIP's National Conferences on Medicare, Medicaid & Duals, Oct. 14 through Oct.18 in D.C., we'll explore policy, regulatory, and operational issues, and their impact on public programs. Register now to get AHIP's Super Saver rate.
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Pharma News
FDA approves Alembic's major depressive disorder tablets
The FDA has approved Indian drugmaker Alembic Pharmaceuticals' abbreviated new drug application for major depressive disorder drug bupropion hydrochloride tablets USP, 75 mg and 100 mg. The drug is therapeutically equivalent to GlaxoSmithKline's Wellbutrin, its reference drug.
PharmaBiz (India) (6/11) 
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Policy Watch
HHS urges pharmaceutical firms to voluntarily lower drug prices, sources say
HHS urges pharmaceutical firms to voluntarily lower drug prices, sources say
(Joe Raedle/Getty Images)
HHS officials have been meeting with drugmakers to encourage them to voluntarily cut their drug prices, but it remains unclear whether any of those firms agreed to do so, sources say. President Donald Trump said late last month that he expects pharmaceutical firms to announce "massive drops in prices" in two weeks, a time period that ends this week, and an HHS spokesperson on Monday said the agency is working with pharmaceutical firms, insurers, health care providers and other industry stakeholders to lower prescription drug prices.
The Hill (6/11) 
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Calif. attorney general leads fight to defend the ACA
In response to news that the Trump administration will not defend key parts of the Affordable Care Act, California Attorney General Xavier Becerra says he plans to intensify his efforts to protect the ACA. Becerra leads an effort by Democratic attorneys general to fight a current lawsuit charging that last year's tax bill renders the entire ACA unconstitutional.
Kaiser Health News (6/11) 
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AHIP News
Chen and Edgar at National Conference on Medicare
At AHIP's National Conference on Medicare, Oct. 14 through Oct. 16, you'll hear from health care leaders such as Lanhee J. Chen, Hoover Institution and Babette Edgar, BluePeak Advisors. Gain fresh insights at this landmark public program and take home ideas that can make an impact. See all the speakers and sessions. The Super Saver rate ends July 25. Register now.
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Must-attend webinars. Register today.
June 13, 1:00 p.m. to 2:00 p.m. ET, "Top 10 'Must Haves' For Payer Account Reporting" learn how to deliver comprehensive account reporting to drive actionable improvements. June 26 from 1:00 p.m. to 2:00 p.m. ET, "Combat the Opioid Epidemic with Evidenced-Based Analytics" and learn to identify and address the connection between behavioral health and the misuse of opioids.
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