Health Reform

From AIS's Value-Based Care News - Recognition by the National Committee for Quality Assurance (NCQA) as a patient-centered medical home (PCMH) is a popular approach that primary care practices can take to transform themselves into medical homes. While NCQA has a subspecialty certification model, that isn’t really oncology-specific. However, Consultants in Medical Oncology & Hematology (CMOH), a community-based medical oncology practice in Pennsylvania, has been able to apply the principles of the PCMH model to improve the way it provides care, in the process becoming the first oncology practice that NCQA has recognized as a level III PCMH — and, it says, reaping tremendous benefits in… Read more

From AIS's Value-Based Care News - Since launching its patient-centered medical home (PCMH) program in 2011, CareFirst BlueCross BlueShield has continued to expand the program. And with that expansion have come savings: The insurer said recently that it had spent $609 million less than expected on medical costs in the program’s four years. Read more

Health Reform Blog

By Steve Davis - June 1, 2015
While determining rates for the 2016 plan year, health plan actuaries had a better understanding of who purchased coverage through a public exchange...and their health risks. It turns out that enrollees are older, sicker and use more prescription drugs than actuaries estimated for the first two...
By Steve Davis - April 10, 2015
A few months back, I interviewed a small business owner who decided to transition to the federal Small Business Health Options Program (SHOP). He liked the idea of giving his workers more health insurance choices and was intrigued by the small-business tax credit, which is available only through...
By Steve Davis - March 17, 2015
For the record, I don’t think the Supreme Court will decide only state-based exchanges can distribute federal premium subsidies. The court had its chance to strike down the individual mandate in 2012 but didn’t. But if I’m wrong, will a decision against HHS mean the end of public insurance...

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