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Perspective: The Shrinking Number of Primary Care Physicians Is
Reaching a Tipping Point I’ve been receiving an escalating stream of panicked emails from people telling me their longtime physician was retiring, was no longer taking their insurance, or had gone concierge and would no longer see them unless they ponied up a hefty annual fee. They have said they couldn’t find another primary care doctor who could take them on or who offered a new-patient appointment sooner than months away. KFF, September 8, 2023 Two health systems M&A deals disrupting their markets: Will they fail? According to a recent Kaufman Hall quarterly report, M&A activity increased and brought the number of deals back up to pre-pandemic levels during Q2 of 2023. HealthLeaders, September 7, 2023 Rachel Feinman Gets Picky with Healthcare Innovation Finding innovation in healthcare that works is challenging. An idea must be developed and tested by those who would use the new strategy or technology, all while mapping out value and showing data that prove clinical or business outcomes. And that ROI had better show up now, not next year or even next month. HealthLeaders, August 29, 2023 Paperwork problems drive surge in people losing Medicaid health coverage The nation’s top health official implored states to do more to keep lower-income residents enrolled in Medicaid, as the Biden administration released figures confirming that many who had health coverage during the coronavirus pandemic are now losing it. AP, July 28, 2023 Drivers of 2024 Health Insurance Premium Changes Each year, the American Academy of Actuaries Individual and Small Group Markets Committee publishes an issue brief outlining the factors likely to drive premium changes for the next plan year. The issue brief focuses on changes in gross premiums, rather than changes in premiums net of premium subsidies. As with prior briefs, this year’s brief examines factors that could affect the composition of health insurance risk pools, health care prices, and health care utilization, each of which could affect 2024 health spending projections and premiums. American Academy of Actuaries, July 2023 |
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Barriers to Digital Health
Adoption by Health Systems 1. Financial pressures: 47.6% 2. Staff resource constraints: 19.1% 3. Digital health at odds with fee for service model: 14.3% 4. Other: 14.3% 5. Lack of evidence of clinical outcomes: 4.8% 6. C-level support: 0% 7. Patient engagement: 0% Note: Online survey of College of Healthcare Information Management Executives (CHIME) members conducted between May 15 and June 20, 2023. Source: xealth, Survey: 90 percent Adopt Digital Health, Despite Financial Pressures, August 2023 |
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Shifting Toward an Approach that Prioritizes Quality over
Quantity
United States of Care: Through a multi-part
public opinion research project, we learned how to best talk
about value-based care – in order to emphasize how shifting to
this new approach aligns with the ways people want to receive
high-quality, affordable health care. USofCare is proud to share
our research, findings, and recommendations on communicating
about Patient-First Care in a way that resonates with people. |
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Check out
HealthshareTV, the
home for health care videos |
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CMS Announces Transformative Model to Give States
Incentives and Flexibilities to Redesign Health Care
Delivery, Improve Equitable Access to Care The Centers for Medicare & Medicaid Services (CMS) unveiled a transformative step to test a state’s ability to improve the overall health care management of its state population. The States Advancing All-Payer Health Equity Approaches and Development Model (“States Advancing AHEAD” or “AHEAD Model”) aims to better address chronic disease, behavioral health, and other medical conditions. CMS, September 5, 2023 Primary care docs affiliated with health systems drove up spending: study Primary care physicians affiliated with large health systems drive up spending on patient care through increased referrals to specialists, emergency department visits and hospitalizations, per a study led by the Harvard T.H. Chan School of Public Health. Axios, September 5, 2023 MGMA Data Reveals Medical Practices' Innovation to Overcome Staffing Challenges Medical Group Management Association (MGMA) released a new report detailing the innovative solutions employed by medical practices to combat staffing challenges and maintain access to care for patients. The 2023 MGMA DataDive Practice Operations report serves as a valuable point of reference for other practices, featuring data and benchmarks gathered from nearly 1,000 organizations that represent a wide range of specialties and practice types. PRNewswire, August 30, 2023 United States of Care Launches New Website Providing Resources for Solving the Health Care Affordability Crisis United States of Care launched HiddenCostOfCare.Com, a new resource for policymakers, thought leaders, stakeholders, and advocates to learn more about the affordability crisis facing people — and how we can all work to address it. This one-stop shop for issue briefs, reports, talking points, and tools to see what policy innovations are brewing in the states and at the federal level is a unique resource for policymakers and leaders across the nation working to craft innovative health care solutions. Press Release, August 22, 2023 Why 2 CEOs Are Clamoring For New Primary Care Payment Models Fee-for-services payment models in the primary care ecosystem are doing a poor job of keeping Americans healthy and reducing the nation’s massive amount of healthcare spending, two CEOs of primary care companies said during a recent webinar hosted by HLTH. MedCity News, August 17, 2023 New HHS Report Shows National Uninsured Rate Reached All-Time Low in 2023 After Record-Breaking ACA Enrollment Period The U.S. Department of Health and Human Services (HHS) released a report last month showing that the national uninsured rate reached an all-time low of 7.7 percent in early 2023. HHS, August 3, 2023 |
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