May 18, 2018 | Managed Care Friday
1. 71: Percent of colon cancer cases that appear to be preventable through proper nutrition, 30-minutes of daily exercise, and not smoking or being obese, factors that account for 78% of chronic disease risk. 2. Enter Your Own Clinical Notes: Elaine Benes would have loved this. 15% of physician offices in our poll of 316 groups say they are starting to create a system to allow patients to provide input into their medical records. Elaine was ticked, for you Seinfeld fans, when her doctor fake erased her feedback about her rash. Patients of physicians Georgia and South Carolina, will be able...
May 11, 2018 | Managed Care Friday
1. 1.7 Million: Number of children under the age of 18 with major depressive episodes who did not receive treatment, according to the Suicide Prevention Resource Center. That’s enough to fill every major league baseball stadium on the east coast twice. There is a shortage of providers as well. In Alabama, there’s only one mental health professional per 1,260 people. To meet the need for mental health care, providers in the lowest ranked states would have to treat six times as many people than providers in the highest ranked states 2. MCO Monthly Rate For Rx: Tennessee’s Medicaid program...
Apr 27, 2018 | Managed Care Friday
1. 100: Dollars for helping MA plans with diagnosing patients properly. If your doctors suspect a patient has a condition that hasn’t been formally diagnosed or coded this year, they can get $100 financial incentives as part of a diagnosis rewards program – about two thirds of MA plans in our poll this month say they pay this to PCPs, some pay more or less. ‘It’s for identifying a condition that’s not been diagnosed and coded but should be…but it works both ways – like if you figure out a patient no longer has a condition’ 2. Divorce or Separation? A Tennessee couple we are interviewing...
Apr 20, 2018 | Managed Care Friday
1. 70%. Likelihood of acquiring Alzheimer’s disease has been shown to be this much lower in people who eat a vegan diet. 2. Autism’s Cliff: No, we aren’t taking about a fall-off in rates but rather a fall-off in services. Only 36% of autistic young adults attend any postsecondary education. Solutions are needed now for young people on the spectrum who are seeking an independent life. Only about 19% of young autistic adults live independently away from parents and without supervision. Read more on seeking solutions for the transition into adulthood here. 3. Lab Payment Ending: Starting in...
Apr 6, 2018 | Managed Care Friday
1. Six Million: Adults in the U.S. who suffer from panic disorder. That’s 2.7% of the population. Women are twice as likely to be affected as men, according to research from the Anxiety and Depression Association of America. Many people don't know that their disorder is real and highly responsive to treatment. People with the disorder experience spontaneous feelings of panic as their brain goes into a fight or flight mode. The University Health News Daily states that causes of panic attacks in women arise more than men because researchers have identified 3 notable causes: serotonin...
Mar 30, 2018 | Managed Care Friday
1. 1948: Average daily price of a typical hospital room according to 15 Ohio hospital prices. That’s at least a dozen urgent care visits. 2. Catholic Systems Move Into Rx Field: Ascension, the world’s largest Catholic health system, is 1 of 4 systems involved in creating a non profit generic drug company. Intermountain Healthcare is spearheading the effort. Trinity System is also involved. The company will be directly manufacturing generics, or subcontract this work, with a goal of improving the supply of medications and getting control over pricing given recent spikes in generic drug costs....
