Health Economics

U.S. Out-Of-Pocket Healthcare Spending Swells to $491 Billion, Up 10%

Thursday, July 29, 2021 - 5:30pm

This will result in almost $800 billion of consumer out-of-pocket healthcare spending in 2026, reports leading medical market research publisher Kalorama Information in the recent study Out-of-Pocket Healthcare Expenditures in the United States, 5th Edition .

Key Points: 
  • This will result in almost $800 billion of consumer out-of-pocket healthcare spending in 2026, reports leading medical market research publisher Kalorama Information in the recent study Out-of-Pocket Healthcare Expenditures in the United States, 5th Edition .
  • "A variety of demographic, business, and government trends are contributing to rising out-of-pocket healthcare expenses in the United States," says Bruce Carlson, publisher for Kalorama Information.
  • Continuing a long-standing trend, out-of-pocket expenditures for healthcare products and services in the United States represent a significant portion of consumers' incomes as of 2021.
  • The economic effects of the Covid pandemic will further dampen spending, although not significantly.

Gateway Health And WellSpan Health Announce Value-Based Partnership

Thursday, July 29, 2021 - 3:45pm

YORK, Pa., July 29, 2021 /PRNewswire/ -- Gateway Health Plan, Inc. , ("Gateway Health"), a leading managed care organization dedicated to caring for the total health of its members,and WellSpan Health ("WellSpan"), a leading non-profit health system in South Central Pennsylvania committed to exceptional care for all, today announced that they have entered into a value-based partnership agreement.

Key Points: 
  • YORK, Pa., July 29, 2021 /PRNewswire/ -- Gateway Health Plan, Inc. , ("Gateway Health"), a leading managed care organization dedicated to caring for the total health of its members,and WellSpan Health ("WellSpan"), a leading non-profit health system in South Central Pennsylvania committed to exceptional care for all, today announced that they have entered into a value-based partnership agreement.
  • Through this value-based partnership, Gateway Health and WellSpan aim to deliver an enhanced level of care, improve health outcomes, and lower health care costs for Gateway Health's Medicaid members receiving care at WellSpan's 200-plus health care locations.
  • "At Gateway Health, we believe that truly caring for a person's health requires a different kind of health care," saidEllen Duffield, Chief Operations Officer, Gateway Health.
  • Gateway Health coordinates health care that goes beyond doctors and medicine to deliver whole person care to the communities it serves.

New Report Outlines Role of Social Determinants in Americans' Health

Thursday, July 29, 2021 - 10:05am

WASHINGTON, D.C., July 29, 2021 /PRNewswire/ --America's chronic disease and health disparities crisis require policy interventions targeting structural racism and the social determinants of health, concludes a report released today by Trust for America's Health.

Key Points: 
  • WASHINGTON, D.C., July 29, 2021 /PRNewswire/ --America's chronic disease and health disparities crisis require policy interventions targeting structural racism and the social determinants of health, concludes a report released today by Trust for America's Health.
  • "The COVID-19 pandemic put a spotlight on the role that social and economic conditions play in health and gives policymakers an opportunity to build an improved social supports and public health system," said J. Nadine Gracia, MD, MSCE, President and CEO of Trust for America's Health.
  • Building healthy and thriving communities and advancing health equity require improving the social and economic conditions that shape health.
  • The social determinants of health are factors beyond traditional healthcare that significantly impact health including where you are born, live, work, play, go to school, and age.

NextGen® Population Health Solutions Enable Delaware Valley Community Health to Identify and Treat Vulnerable Patients

Wednesday, July 28, 2021 - 1:00pm

NextGen Healthcare was recently recognized in the 2021 Population Health Vendor Overview Report as a highly rated vendor working with FQHCs.

Key Points: 
  • NextGen Healthcare was recently recognized in the 2021 Population Health Vendor Overview Report as a highly rated vendor working with FQHCs.
  • As a longtime user of NextGen Enterprise EHR , DVCH clinics began utilizing NextGen Population Health to identify patients at the chart level and address health disparities and other barriers facing COVID-19 vaccination administration.
  • NextGen Population Health allows us to make proactive outreach to the most vulnerable patients in our communities to get them vaccinated in priority order, said Isaiah Nathaniel (CPHIMS), chief information officer for Delaware Valley Community Health.
  • Click here to learn how Delaware Valley Community Health is leveraging connected health solutions to deliver whole-person care.

Employer Direct Healthcare Announces Significant Growth Investment

Wednesday, July 28, 2021 - 3:00pm

DALLAS, July 28, 2021 /PRNewswire/ --Employer Direct Healthcare ("EDH"), the market-leading healthcare services business providing high-quality and cost-efficient solutions for self-funded employers and their members, today announced a growth capital investment.

Key Points: 
  • DALLAS, July 28, 2021 /PRNewswire/ --Employer Direct Healthcare ("EDH"), the market-leading healthcare services business providing high-quality and cost-efficient solutions for self-funded employers and their members, today announced a growth capital investment.
  • In addition to the primary capital investment, Jeremy Green, Redmile Group's Founder and Portfolio Manager, will be joining the Employer Direct Healthcare Board of Directors.
  • The new growth capital will support the continued development of Employer Direct Healthcare's industry leading specialty network, technology enhancements, acquisitions, and product expansion.
  • Employer Direct Healthcare is a market-leading health care services business providing high-quality and cost-efficient solutions for self-funded employers and their members.

National Coalition on Health Care and West Health to Co-Host Congressional Briefing on Drug Pricing Reform

Wednesday, July 28, 2021 - 1:30pm

WASHINGTON, July 28, 2021 /PRNewswire/ -- On July 28 from 1-2pm ET the National Coalition on Health Care (NCHC) and West Health will co-host a second Congressional briefing titled Drug Pricing Reform: The Costs of Inaction .

Key Points: 
  • WASHINGTON, July 28, 2021 /PRNewswire/ -- On July 28 from 1-2pm ET the National Coalition on Health Care (NCHC) and West Health will co-host a second Congressional briefing titled Drug Pricing Reform: The Costs of Inaction .
  • Also, Amy Herr of West Health will present public opinion research on prescription drug prices, and Shawn Gremminger of Purchaser Business Group on Health will discuss the impact on employers.
  • The event will build on the first briefing , which highlighted how high drug prices, coverage gaps, and other systemic issues drive health inequities for communities of color.
  • The first briefing, The Burden of High Drug Prices Among Communities of Color, featured several prominent speakers and new data from West Health's survey on drug accessibility and affordability.

Dr. Saeed Khan Predicts the Transition to a New System for Primary Care

Tuesday, July 27, 2021 - 5:02pm

With all his years of experience, he believes the future of Patient Primary care is shifting from its current model to a more Value-based system.

Key Points: 
  • With all his years of experience, he believes the future of Patient Primary care is shifting from its current model to a more Value-based system.
  • In the realm of Patient Primary Care, the current Volume-based model of care and procedure provided by various disciplines is being replaced by a new Population-based model.
  • Dr. Saeed Khan has noticed this trend and created a roadmap for a transition to a value-based system in Primary Care.
  • These changes are measures Dr. Khan believes will create a more comprehensive and efficient primary care system for both patients and providers.

Team-based Healthcare Models Lead to More Collaboration, Higher Morale, and an Increased Focus on Patient Care, athenahealth Physician Sentiment Index Finds

Tuesday, July 27, 2021 - 2:00pm

The physicians answered questions related to organizational resources, technological challenges, physician wellbeing, quality patient care, and more.

Key Points: 
  • The physicians answered questions related to organizational resources, technological challenges, physician wellbeing, quality patient care, and more.
  • While most physicians responded positively, physicians in a team-based model of care were more likely to feel inspired to go above and beyond what is required.
  • Only 23% of physicians working in a traditional model and 26% of those working in a hybrid model held this belief.
  • Reducing administrative tasks and managing information overload is critical for patient care quality, as well as for physician wellbeing.

LTC ACO Selects PatientPing’s Real-Time E-Notification System to Improve Patient Outcomes and Lower Total Cost of Care for Medicare Beneficiaries Across the Healthcare Continuum

Tuesday, July 27, 2021 - 3:00pm

The care coordination enabled by PatientPing will enhance LTC ACOs value-based care delivery model and population health management, resulting in improved patient outcomes and ultimately lower total cost of care across the healthcare continuum.

Key Points: 
  • The care coordination enabled by PatientPing will enhance LTC ACOs value-based care delivery model and population health management, resulting in improved patient outcomes and ultimately lower total cost of care across the healthcare continuum.
  • LTC ACO is committed to advancing healthcare for residents in long-term care facilities, said Jason Feuerman, President and Chief Executive Officer at LTC ACO.
  • LTC ACO is the first post-acute care sponsored Accountable Care Organization (ACO) in the United States.
  • PatientPing is an innovative care collaboration platform that reduces the cost of healthcare and improves patient outcomes by seamlessly connecting providers to coordinate patient care.

PCORI approves $254 million to fund 28 new research studies addressing urgent health problems

Tuesday, July 27, 2021 - 9:22pm

Four studies approved for a total of $33 million will assess interventions to improve care during pregnancy and after childbirth to reduce the higher rates of health problems among Black women and Latinas and their infants.

Key Points: 
  • Four studies approved for a total of $33 million will assess interventions to improve care during pregnancy and after childbirth to reduce the higher rates of health problems among Black women and Latinas and their infants.
  • The Patient-Centered Outcomes Research Institute (PCORI) is an independent nonprofit organization authorized by Congress in 2010.
  • Its mission is to fund research that will provide patients, their caregivers and clinicians with the evidence-based information needed to make better-informed health care decisions.
  • PCORI is committed to continuously seeking input from a broad range of stakeholders to guide its work.