Category: MedicareAdvantage
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Key Lever 7 Primary Care Reimbursement: Overcoming the Challenges
The main purpose of the primary care investment “movement” is to distribute more healthcare spending to primary care in the belief that it is a more cost-effective way to care for people than the current system. A complementary belief shared by many healthcare professionals is that the most appropriate way to reimburse primary care practitioners…
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A Brief History of Managed Healthcare: 1970 to present
The January 1970 issue of Fortune magazine, which focused entirely on healthcare issues and solutions, coincided with a time when healthcare spending was 7% of GDP. As an associate at McKinsey & Company during that period, I was inspired by this issue and by a subsequent meeting with Dr. Paul Ellwood to dedicate my professional…
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Better Healthcare Policy Group convenes in Washington, DC
March 14, 2024 The Better Healthcare Policy Group convened a meeting at the American College of Surgeons in Washington, DC, to catalyze discussions on the implementation of the Better Care Plan. The gathering included a diverse group of nearly 40 payers, employer coalitions, providers, patient advocates, patient safety and health quality professionals convening to discuss…
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The Better Care Plan: a blueprint for improving America’s healthcare system
Stephen M Shortell, , John S Toussaint, , George C Halvorson, Jon M Kingsdale, Richard M Scheffler, Allyson Y Schwartz, Peter A Wadsworth, Gail Wilensky HealthAffairs Scholar 6/20/2023 Abstract The United States falls far short of its potential for delivering care that is effective, efficient, safe, timely, patient-centered, and equitable. We put forward the Better Care Plan, an overarching blueprint to…
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The Better Care Plan Advantage
Peter A. Wadsworth (LinkedIn 12/11/2020) The Better Care Plan is a national health strategy to improve the affordability of health coverage and the quality of care received by Americans. It was developed by these eight senior healthcare executives, economists, and health policy researchers. Conclusions Medicare Advantage plans currently outperform Medicare fee-for-service (Parts A, B and…
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Medicare-for-All Part III: Assessing the Alternatives published
This article compares Medicare-for-All with several alternatives including a public option, Medicare Extra for All, the Healthy America Program (revised) and Medicare Advantage for All using six criteria, such as universality of coverage, affordability, per capita costs and implementation time-frame. It concludes with seven recommendations, most notably nationalization of Medicaid and substantial changes to the…