health change bulletin
Health Change Bulletin                                                                      May 23, 2019
  
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Quote 
  "We see large coverage gaps among children who are living below the poverty line compared to those at or above poverty and among children who have no insurance. The highest disparity is among the uninsured compared to those with private insurance."  
-Dr. Holly Hill, Medical officer and Epidemiologist, Centers for Disease Control and Prevention
 
Factoid
 
AMGA's annual risk survey found that 56% of member revenues were risk-based in the federal setting, and 28% of revenues were risk-based in the commercial setting. Federal fee-for-service (FFS) payments declined by 20% between 2015 and 2018 survey. During the same time span, commercial FFS payments declined by 8%.

Source: Taking Risk, 4.0: Clearing a Pathway to Value-Based Care: AMGA’s Fourth Annual Risk Survey
   
News 
  ‘Medicare for All’ Falters as Top Democrats Fret Over Backlash
Bloomberg, May 22, 2019

Blue Cross joins the doctors practice party
Modern Healthcare, May 21, 2019

After Walmart, Mayo pushes further into workplace health
MedCity News, May 21, 2019

Unique initiative to lower drug prices signs manufacturer
Houston Chronicle, May 20, 2019

As ER Wait Times Grow, More Patients Leave Against Medical Advice
Kaiser Health News, May 17, 2019

Health insurance inflation hits highest point in five years
Modern Healthcare, May 17, 2019

Haven, the new health venture, just lost its No. 2 exec
CNBC, May 16, 2019

Discount medical shopping site launches in Kansas City
Kansas City Star, May 15, 2019

Walmart Charts New Course; Steers Workers To High-Quality Imaging Centers
Kaiser Health News, May 15, 2019

Merger Cops Must ‘Push the Envelope’ in Health, FTC Official Says
Bloomberg, May 14, 2019

 
 
Insights
  Taking Risk, 4.0: Clearing a Pathway to Value-Based Care
AMGA’s Fourth Annual Risk Survey, May 2019

Struggle To Hire, Keep Doctors In Rural Areas Means Patients Go Without Care
NPR, May 21, 2019

HHS' Hargan: Innovators needed to reshape healthcare system
Modern Healthcare, May 17, 2019

Will Washington State's New 'Public Option' Plan Reduce Health Care Costs?
NPR, May 16, 20189

 
    
HealthshareTV video
 

 
Healthcare’s Pricing Problem: How Did We Get Here and How Can We Reverse the Trend?
 
  Healthcare’s Pricing Problem: How Did We Get Here and How Can We Reverse the Trend?

This panel called “Healthcare’s Pricing Problem: How did we get here and how can we reverse the trend?” was part of the 14th Annual Columbia Business School Healthcare Conference.

    

 
Check out HealthshareTV, the home for health care videos    
 
Healthsprocket List 
 
  AHIP: Types of Care that Can Be Handled Virtually (Commercial Plans)

1. Acute Care: Assessment/Diagnosis: 77%*
2. Acute Care: Treatment/Care: 80%
3. Acute Care: Monitor/Medication Management: 61%
4. Behavioral Health: Assessment/Diagnosis: 73%
5. Behavioral Health: Treatment/Care: 84%
6. Behavioral Health: Monitor/Medication Management: 77%
7. Dermatology: Assessment/Diagnosis: 73%
8. Dermatology: Treatment/Care: 66%
9. Dermatology: Monitor/Medication Management: 77%

Notes: *Percentage of commercial plans offering this type of care

Source: AHIP
 
      
 
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