Wednesday, November 20, 2013

Feature Report: Reference pricing saves insurers, patients money

This Week's Healthcare Online News

iHealthBeat
Telemedicine Groups Suggest Adding Patient-Generated Data to EHRs
Nov,18,2013
by+ Staff

Last week, a group of telemedicine advocates sent a letter to members of Congress urging them to address the inclusion of patient-generated health data in electronic health record systems, FierceHealthIT reports (Bowman, FierceHealthIT, 11/15). Letter Details The letter was sent to Sens. Max Baucus (D-Mont.) and Orrin Hatch (R-Utah), as well as to Reps. Dave Camp (R-Mich.) and Sander Levin (D-Mich.)
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Fierce Health Payer
Reference pricing saves insurers, patients money
Nov,19,2013
by:+Katie Sullivan

Michael Belman, M.D., has witnessed firsthand the benefits of reference pricing. When he had cataract surgery in Los Angeles he found a variation in prices ranging from $3,500 to $11,000.
By taking the time to learn about prices, Belman was able to save himself out-of-pocket costs and provide savings to his insurance provider. Those savings will mean members will spend less money in the future through the trickle-down effect.
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Fierce Health IT
Legislation expands telehealth coverage for military, retired veterans
Nov,19,2013
by:+Dan Bowman

New legislation introduced in the House last week aims to improve access to telehealth services for active-duty military, retired veterans and their dependents by expanding reimbursement for such care. The bill--the 21st Century Care for Military & Veterans Act (H.R. 3507)--which initially was co-sponsored by California Democratic Reps. Mike Thompson and Scott Peters, now also is sponsored by Reps. Gregg Harper (R-Miss.) and Peter Welch (D-Vt.), and has earned an endorsement from the American Telemedicine Association.
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Government Health IT
Ditching state Medicaid fee-for-service for a better health ecosystem
Nov,19,2013
by:+Anthony Brino,

Many state Medicaid programs suffer awful reputations: outrageously high per capita spending, mediocre care quality, coverage for medically dubious procedures, and widespread fraud, to name just a few problems. The upside is that for states that can move beyond the politics of Medicaid, or at least head down that path, the opportunities to simultaneously reduce costs and improve patient care and population health are enormous – including some non-traditional services that are already demonstrating tangible results.
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