The insurance industry has made important strides for consumers in the past few years, says AHIP President and CEO Marilyn Tavenner, but she says government and Congress must act to continue the momentum. Better oversight of special enrollment periods is needed to balance risk, and measures are needed to allow plans to design benefits that will appeal to young, healthy adults, Tavenner says.
Private health coverage is associated with earlier diagnosis and better survival among adults diagnosed with glioblastoma multiforme or testicular cancer, according to separate studies in the journal Cancer. Privately insured patients with testicular cancer have 88% lower mortality risk than uninsured patients, while privately insured patients with glioblastoma multiforme tend to live longer than those without insurance and those covered by Medicaid.
Your Security Strategy Should Revolve Around Customers, Not Technology The best technology won't stop a data breach, but a customer-obsessed security program will preserve trust when it happens. Download the report and learn how from Forrester Research.
The CMS reported an average 8% decrease in hospital readmission rates from 2010 to 2015. Agency officials credited much of the improvement to the Hospital Readmissions Reduction Program that cuts Medicare reimbursements for hospitals with 30-day readmission rates that are higher than expected for acute myocardial infarction, heart failure and pneumonia.
Data showed similar racial disparities in preventive care before and after the CMS Quality Bonus Payment Demonstration in Medicare Advantage, which was introduced in 2012, researchers reported in the journal Preventing Chronic Disease. Researchers studied whether program incentives affected preventive care in the areas of improving bladder control, reducing risks of falls, and physical activity monitoring.
Webinar: Prove the Value of Engagement Initiatives with Interaction Analytics Engaged members mean better health and financial outcomes. Measuring engagement remains elusive, however. Join us to learn about the data management and communication technologies for making the most of every member touch point. Hear about the latest techniques for optimizing critical interactions, which can drive better results and member satisfaction. Click here to register.
A report from the CDC's Center for National Health Statistics found that brain cancer was the leading cause of pediatric cancer deaths after deaths rose from 516 in 1999 to 534 in 2014, while leukemia deaths declined from 645 to 445. The findings also showed that overall cancer mortality among youths declined by 20% over the same period.
Thirty-one million US adults ages 50 and older don't engage in any physical activity, including almost 26% of men and more than 29% of women, which increases their risk for diabetes, cancer and heart disease, according to the CDC's Morbidity and Mortality Weekly Report. Researchers evaluated the results of a 2014 national health survey and found that adults become more physically inactive as they age.
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Houston and Dallas are ranked first and second among major metropolitan areas in the US with the highest rate of uninsured residents, while San Antonio ranks fourth in the list, according to data from the US Census Bureau. Coverage rates in Texas, which did not expand Medicaid eligibility, are low among low-income residents, and Texas also has seen higher-than-average maternal mortality rates.
Researchers with Boston Children's Hospital Informatics Program created a model based on EHR data from 1998 to 2012 and found that the model was able to predict a patient's future suicidal behavior at an average of three to four years in advance, showing an up to 95% specificity or true negative rate and up to 45% sensitivity or true positive rate. The findings in The American Journal of Psychiatry suggest that EHR data "present a largely untapped opportunity for improving medical screening and diagnosis," researchers note.
How Benefits Might Change in 2017 As the election season marches on and the nominees have been selected, now is a good time to take a look at the changes you might expect for health benefits in 2017. It is hard to know what will simply be election fodder and what will actually come to fruition, but it is important to keep abreast of all the moving pieces and where each candidate stands. Learn more
Count your credentialing cycle in days, not months. Read this fact sheet to learn how you can eliminate redundant and costly outreach to providers, remove credentialing backlogs, easily meet all compliance requirements, and improve provider directory quality in less than 30 days.
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Aralez Pharmaceuticals' Yosprala, or aspirin and omeprazole, has been approved by the FDA for patients who take daily aspirin to prevent secondary cardiovascular events and are at risk for gastric ulcers caused by aspirin. Two clinical trials showed patients who received the drug had fewer endoscopic gastric ulcers compared with those who received enteric-coated aspirin.
Best practices, how-tos and case studies are the foundation of concurrent sessions and breakfast briefings at AHIP’s Consumer Experience & Digital Health Forum, Dec. 6-8 in Chicago. Educational tracks include: Reengineering marketing to drive consumer engagement; next-generation consumer and patient experience; infrastructure and business operations transformation, leveraging data analytics and insight; and technologies and tools for connected and collaborative care. Register today.
Map out the right path for your diabetes prevention program. Discover lessons learned from health plans participating in the CDC’s National, such as how to acquire measureable data, act on the information, and partner with the right organizations. Register today for this complimentary webinar, Sept. 20 from 1 to 2 p.m., ET.
Master a new approach for tackling Fraud, Waste, and Abuse (FWA) issues. Join us on Sept. 21 from 2:00 p.m. to 3:00 p.m. ET, as Franklin M. Din, DMD, MA, CMIO of FraudLens, Inc., discusses a new FWA strategy to produce a pre-pay behavioral change rather than post-pay enforcement and recovery. Register for this complimentary webinar today.
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