A Commonwealth Fund report analyzes the efficacy of various initiatives to better manage care for high-cost patients.
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Research in JAMA Internal Medicine finds that an intervention to lessen use of "low-value" services, in this case, imaging for back pain or headache or bone density testing, by using fake patients and then counseling young physicians, did not work. Maybe we should rely more on doctors' judgment about the value of services and maybe we should recognize their risk-aversion, given the malpractice world they live in.
http://archinte.jamanetwork.com/article.aspx?articleid=2472948Troubled revenue cycle management firm Accretive has received lifeline financing and a long-term contract from a group headed by hospital chain Ascension Health.
http://www.modernhealthcare.com/article/20151208/NEWS/151209891?utm_source=modernhealthcare&utm_medium=email&utm_content=20151208-NEWS-151209891&utm_campaign=amAnother AHRQ brief on the persistence of health spending reveals there isn't that much among high-cost patients.
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A study published in the British Journal of General Practice finds that physicians who don't prescribe antibiotics when patients think they should get them are likely to have lower satisfaction scores, demonstrating again the conflict between expecting physicians to have high satisfaction scores and punishing them for not following care guidelines.
http://www.upi.com/Health_News/2015/12/07/Study-Patients-less-satisfied-with-doctors-who-prescribe-fewer-antibiotics/6851449499931/MD Revolution gets $23 million in fresh capital as it ramps up its business of helping physicians maximize Medicare chronic disease management reimbursement.
http://medcitynews.com/2015/12/md-revolution-raises-23m-to-boost-staff-product-develoment/?utm_source=MedCity+News+Subscribers&utm_campaign=44060c4cee-MCN+Daily+Email&utm_medium=email&utm_term=0_5092836c41-44060c4cee-408793005&rf=1Twine has strung together (or strung along) more investors and roped in an additional $6.7 million in capital to expand its health coaching business.
http://medcitynews.com/2015/12/patient-coaching-for-chronic-conditions/?utm_source=MedCity+News+Subscribers&utm_campaign=44060c4cee-MCN+Daily+Email&utm_medium=email&utm_term=0_5092836c41-44060c4cee-408793005&rf=1Research sponsored by the Commonwealth Fund and published in Health Affairs finds that primary care physicians around the world struggle with care management for patients with multiple chronic conditions.
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The CMS Office of Actuary releases its estimates of 2014 national health spending, finding significant acceleration to 5.3% growth.
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