Medicare & Medicaid
The Blue Button API pilot, Data at the Point of Care, aims to connect clinicians with claims data, giving them deeper insights into their patients' care history.
CMS Administrator Seema Verma says administration is not afraid of legal push-back from providers or payers.
Patient response rates have been declining over the years; the response rate was 33% in 2008 but just 26% in 2017.
Smaller hospitals may lack the requisite expertise, personnel and financial resources necessary to make the leap.
The providers are supported by a local multidisciplinary team including behavioral health clinicians, nurses, social workers and dietitians.
Even with insurance, the cost to Medicare patients may be more than $1,600 a year, which may prohibit some from even taking the drug at all.
Personalized communications and robust analytics capabilities can help MA plans avoid some of the pitfalls of coverage gaps.
About 40 new ACOs entered the program, which is less than the 100-plus new ACOs the program averaged in its first 7 years.
Total transacted revenue, $11.3 billion, was above the norm for a single quarter and nearly four times the revenue of Q2 2018.
Many BPCI-participating hospitals instead elect to send patients to home health organizations, which are less costly.