Recent Medtronic data showed Heartware can unexpectedly stop working and sometimes fail to restart, the Food and Drug Administration said.
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Recent Medtronic data showed Heartware can unexpectedly stop working and sometimes fail to restart, the Food and Drug Administration said.
The doses mark a substantial — and immediate — boost to the lagging COVAX effort, which to date has shared just 76 million doses with needy countries.
Proposed rules by state workplace regulators would only allow workers to go maskless if everyone in a room is fully vaccinated against the coronavirus.
CMS' Center for Medicare and Innovation could mandate more participation in future models and design its experiments to allow more communities to participate in them.
CMS' Center for Medicare and Innovation could mandate more participation in future models and design its experiments to allow more communities to participate in them.
Around a dozen proposed mergers between relatively healthy not-for-profit systems haven't closed over the past three years as doctors have protested and regulators have become increasingly wary of consolidation.
A handful of nursing homes, assisted living facilities and hospice programs are shutting their doors over staffing shortages.
Intermountain Healthcare named Marti Lolli as president and CEO of the Salt Lake City-based hospital system's SelectHealth health insurance plan.
A California bill would require clinics, skilled-nursing facilities and hospitals to give medical professionals $10,000 each as a form of “hero pay” for their diligence throughout the pandemic.
Three Medicare Advantage plans lost their fight to require CMS to collect data on patient care and satisfaction during the COVID-19 pandemic.
Realyze Intelligence uses natural language processing and other AI to review clinical notes and data in medical records and identify patients at high risk for poor health outcomes, according to UPMC.
Every day, women across our nation rely on the important work and programs provided by all of the federal offices of women's health.
The digital-first, value-based care company Babylon on Thursday said it plans to go public through a special purpose acquisition corporation merger with Alkuri Global Acquisition Corp.
Children who got certain surgeries during the first part of the pandemic were more likely to develop sepsis, according to a new study.
In April, Illinois became the first state to be approved by the U.S. Department of Health and Human Services to extend Medicaid up to a full year after a pregnancy.
“We’ve seen through the pandemic what happens when people don’t have health insurance and how important it is,” said Chiquita Brooks-LaSure. “Our focus is going to be on making sure regulations and policies are going to be focused on improving coverage.”
Detroit, Miami, Phoenix and New York are among the markets with the most room for so-called "payvider" partnerships to grow, a new report finds.
The consultancy Guidehouse studied more than 100 U.S. markets' populations, insurance enrollment and cost and quality metrics to compile its report, which is designed to help providers and insurers in each area decide whether to partner up or go it alone. Increasingly, payers and providers are boosting their returns by teaming up on risk-based collaborations, either in the form of partnerships or formal joint ventures with asset transfers.
The industry is at an inflection point in terms of how payers and providers are incentivized to keep patients healthy, said Dr. Nicole Fetter, a director with Guidehouse.
"Payers need providers to perform on quality, cost and access more than ever to earn full revenue potential," she said, "and providers need payers and purchasers as they're insuring the patients and members that the providers serve."
Guidehouse found the metro areas around Detroit, Miami, Phoenix, Tampa and New York have the highest current Medicare Advantage and managed Medicaid penetration combined with expected enrollment growth. They also showed room for improvement on cost and utilization metrics such as Medicare per capita costs, Medicare Advantage star ratings and emergency department utilization.
Other metros in that category include Charlotte, N.C., Orlando, Cincinnati and Cleveland. Cleveland's rating, for example, suggests there is substantial opportunity to boost value with respect to cost and quality, the report said. There's also demographic shifts happening that will fuel growth in Medicare and Medicaid managed care membership.
Fetter acknowledged that the markets within each of the report's categories are very different from one another, and said it's because a variety of components go into the scores. For example, Miami scored low on value because its Medicare per capita costs are so high. In Detroit, by contrast, there's poor primary care access and higher age-adjusted mortality.
Guidehouse's report, the inaugural Center for Health Insights Payvider Market Index, only included metros with populations above 500,000 based on market size and future growth. It lists metros by population size, and Fetter noted that the larger the population, the bigger the opportunity for membership growth.
The report also grouped together Los Angeles, San Francisco, Riverside, Calif., Minneapolis and Albuquerque, N.M., and said those markets already have a lot of payers and providers coupled with strong cost and quality performance. Guidehouse said that means payers and providers could further differentiate existing value-based payment and delivery options.
In Albuquerque, there are several high-performing players and projected membership growth, the report said.
Another group that includes Seattle, Denver, San Jose, Calif., Salt Lake City and Des Moines, Iowa has relatively low value-based membership growth potential given projected demographic and payer changes, but the existing players score well on cost and quality. In the case of Des Moines, for example, potential Medicare Advantage and managed Medicaid growth is low, so players in that market may want to consider expanding their footprint elsewhere, Guidehouse said.
A fourth group that includes Chicago, Dallas, Houston and Washington, D.C. has low growth potential and didn't perform as well on cost and quality. In the case of Dallas, Medicare Advantage is already high with significant competition. The real opportunity there is for the provider community to differentiate its population health and cost management capabilities, Guidehouse said.
The payvider trend is driven in part by the increased importance of Medicare and Medicaid in the health insurance businesses, especially Medicare Advantage. The biggest and most obvious example of a payvider is UnitedHealth Group's Optum Care subsidiary, which has more than 53,000 doctors and 1,450 clinics nationwide.
Another example is the value-based care joint venture formed in 2016 between Phoenix-based Banner Health and Aetna that they ultimately extended with a longterm agreement in February 2021. Banner and Aetna said they've seen average cost savings of between 8% and 14%, better member experience and growth to approximately 350,000 members.
In the Detroit area, Henry Ford Health System formed a clinically integrated physician network in 2007 that brought together its medical group and independent providers to boost quality and efficiency. It's now one of the country's highest performing Next Generation ACOs and has a direct-to-employer partnership with General Motors.
Modern Healthcare hospital operations reporter Alex Kacik and politics reporter Jessie Hellmann discuss why Democrats want more information about the role private equity and chain ownership of nursing homes plays in patient outcomes.