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Accounting for Social Risk Factors in Medicare Payment
Recent health care payment reforms aim to improve the alignment of Medicare payment strategies with goals to improve the quality of care provided, patient experiences with health care, and health outcomes, while also controlling costs. These efforts move Medicare away from the volume-based payment of traditional fee-for-service models and toward value-based purchasing, in which cost control is an explicit goal in addition to clinical and quality goals. Specific payment strategies include pay-for-performance and other quality incentive programs that tie financial rewards and sanctions to the quality and efficiency of care provided and accountable care organizations in which health care provid...
Accounting for Social Risk Factors in Medicare Payment
Recent health care payment reforms aim to improve the alignment of Medicare payment strategies with goals to improve the quality of care provided, patient experiences with health care, and health outcomes, while also controlling costs. These efforts move Medicare away from the volume-based payment of traditional fee-for-service models and toward value-based purchasing, in which cost control is an explicit goal in addition to clinical and quality goals. Specific payment strategies include pay-for-performance and other quality incentive programs that tie financial rewards and sanctions to the quality and efficiency of care provided and accountable care organizations in which health care provid...
Accounting for Social Risk Factors in Medicare Payment
Recent health care payment reforms aim to improve the alignment of Medicare payment strategies with goals to improve the quality of care provided, patient experiences with health care, and health outcomes, while also controlling costs. These efforts move Medicare away from the volume-based payment of traditional fee-for-service models and toward value-based purchasing, in which cost control is an explicit goal in addition to clinical and quality goals. Specific payment strategies include pay-for-performance and other quality incentive programs that tie financial rewards and sanctions to the quality and efficiency of care provided and accountable care organizations in which health care provid...
Artificial Intelligence in Clinical Practice
Artificial Intelligence in Clinical Practice: How AI Technologies Impact Medical Research and Clinics compiles current research on Artificial Intelligence within medical subspecialties, helping practitioners with diagnosis, clinical decision-making, disease prediction, prevention, and the facilitation of precision medicine. The book defines the basic concepts of big data and AI in medicine and highlights current applications, challenges, ethical issues, and biases. Each chapter discusses AI applied to a specific medical subspecialty, including primary care, preventive medicine, general internal medicine, radiology, pathology, infectious disease, gastroenterology, cardiology, hematology, onco...
Systems Practices for the Care of Socially At-Risk Populations
The Centers for Medicare & Medicaid Services (CMS) have been moving from volume-based, fee-for-service payment to value-based payment (VBP), which aims to improve health care quality, health outcomes, and patient care experiences, while also controlling costs. Since the passage of the Patient Protection and Affordable Care Act of 2010, CMS has implemented a variety of VBP strategies, including incentive programs and risk-based alternative payment models. Early evidence from these programs raised concerns about potential unintended consequences for health equity. Specifically, emerging evidence suggests that providers disproportionately serving patients with social risk factors for poor healt...
Risk Adjustment, Risk Sharing and Premium Regulation in Health Insurance Markets
Risk Adjustment, Risk Sharing and Premium Regulation in Health Insurance Markets: Theory and Practice describes the goals, design and evaluation of health plan payment systems. Part I contains 5 chapters discussing the role of health plan payment in regulated health insurance markets, key aspects of payment design (i.e. risk adjustment, risk sharing and premium regulation), and evaluation methods using administrative data on medical spending. Part II contains 14 chapters describing the health plan payment system in 14 countries and sectors around the world, including Australia, Belgium, Chile, China, Columbia, Germany, Ireland, Israel, the Netherlands, Russia, Switzerland and the United Stat...
Introduction to Public Health in Pharmacy
Pharmacists are on the frontlines of public health. Their public-facing roles uniquely position them to identify and address emerging disease challenges, discrepancies in health literacy, and barriers to treatment in the communities they serve. In today's interconnected world, the clients consulting a neighborhood pharmacist are just as likely to hail from across an ocean as they are from around the corner. Fittingly, Introduction to Public Health in Pharmacy, Second Edition takes an approach that is both global and local. Macro-level examinations of health care systems and funding mechanisms around the world and advice for culturally competent, client-centered communication regarding nutrition and proper self-administration of medications encapsulate pharmacists' dual roles as guardians of global public health and providers of personalized care. Written in accordance with the latest guidelines from the Center for the Advancement of Pharmacy Education, Introduction to Public Health in Pharmacy, Second Edition offers an accessible introduction for pharmacy students and a comprehensive refresher for pharmacists already in practice.
Care Without Coverage
Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Introduction to Public Health in Pharmacy
Public health & pharmacy in the United States / Bruce Lubotsky Levin, Ardis Hanson, Peter D. Hurd -- Framing public health & pharmacy / Ardis Hanson, Bruce Lubotsky Levin, Peter D. Hurd -- Global health / Ardis Hanson, Peter D. Hurd, Bruce Lubotsky Levin -- Epidemiology / Ardis Hanson, Bruce Lubotsky Levin -- Disease prevention and health promotion / Peter D. Hurd, Justinne Guyton, Ardis Hanson -- Cultural perspectives in public health / Barry A. Bleidt, Carmita A. Coleman, Peter D. Hurd -- Pharmacists' roles in the increase of health literacy among patients / Barry A. Bleidt, Carmita A. Coleman, Silvia E. Rabionet, Peter D. Hurd -- Behavioral health / Ardis Hanson, Carol A. Ott, Bruce Lubot...
Critical Perspectives on Social Justice in Speech-Language Pathology
There is very little discussion of socially just approaches to speech-language pathology. Within other fields of clinically-oriented practice, social justice is a topic that has received a great deal of attention within the last few years. Pedagogy for addressing social justice has been developed in other disciplines. The field of communication disorders has failed to move forward and do the same. Discussion of social justice is important given the current sociopolitical climate and landscape that clients carry out in their day-to-day functioning. Speech-language pathologists (SLPs) have an opportunity to engage in practices that help address and alleviate some of the injustices that contrib...
