Forefront: Medicare Advantage Dual-Eligible Special Needs Plans
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Monday, July 25, 2022 | The Latest Research, Commentary, And News From
Health Affairs
Dear John,
There's been no shortage of takes related to the news that Amazon will
acquire One Medical. As part of our Health Affairs Podcast Fellowship
program, Lalita Abhyankar produced the podcast series Piecemeal, which
focuses on independent primary care consolidation.
Learn about the environment surrounding the Amazon-One Medical news
.
Quality of Diabetes Care
Over the past decade, payment reform, such as Alternative Payment Models
(APMs) and value-based insurance design (VBID), have been explored as
tools to improve the US health care system. APMs and VBID incentivize
the quality - as opposed to volume - of care that patients receive.
In the July Issue, Sabrina Wang and coauthors examine existing research
on APMs and VBID to explore whether payment reform can improve the
quality and value of care
diabetes patients receive.
Wang and coauthors find that "higher-risk APMs yielded greater
improvements in diabetes process measures than lower-risk APMs, and that
VBID models appeared to improve medication adherence."
The authors see these findings representing improvements in redesigning
a payment system to better support diabetics.
The authors recommend that policymakers increase APMs and VBID for the
Medicaid population, standardize diabetes quality measures across APMs,
and consider integrating APMs and VBID under a single payment model.
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Elsewhere At Health Affairs
Today in Health Affairs Forefront, Sarah Barth and Michael Monson
discuss how CMS's final rule for Contract Year 2023 Medicare Advantage
and Part D programs strengthened regulatory provisions to enhance dually
eligible individuals' experiences with Dual Eligible Special Needs
Plans.
However, many states will need increased capacity and support
to take advantage of the new tools available to them.
This article is the latest in the Health Affairs Forefront major series,
Medicare and Medicaid Integration
. The series features
analysis, proposals, and commentary that will inform policies on the
state and federal levels to advance integrated care for those dually
eligible for Medicare and Medicaid.
The series is produced with the support of Arnold Ventures
. The series will run through August
30, 2022;Â submissions are accepted on a rolling basis.
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Daily Digest
Can Alternative Payment Models and Value-Based Insurance Design Alter
The Course of Diabetes In The United States?
Sabrina Wang et al.
Integrating Care In Dual Eligible Special Needs Plan: A Bigger Toolbox
For States
Sarah Barth and Michael Monson
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About Health Affairs
Health Affairs is the leading peer-reviewed journal
at the intersection of health,
health care, and policy. Published monthly by Project HOPE, the journal
is available in print and online. Late-breaking content is also found
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, and Health Affairs Sunday
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health care workers to save lives across the globe. Project HOPE has
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