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Is it realistic to leverage the success of accountable care organizations on physician incentives alone? In other words, what about patients? Might they be that mysterious point that determines the effectiveness of ACO evolution?
Consumers often find it easier to get time with a pharmacist than a doctor, so drug stores are offering more outreach programs about chronic health problems.
Analysis by advocacy group NAMI finds cuts of $1.8 billion, or about 8 percent of the states' total budgets, from 2009 through 2011.
These new plans cut out insurance policies and offer unlimited access to doctors and nurse practitioners for a modest, set fee.
Federal law does not guarantee beneficiaries under the age of 65 the right to buy Medigap coverage and even when they do qualify for a plan, it is often prohibitively expensive.
Addressing the current system by which physician payment is determined is a challenge that demands attention beyond the physician community. It will take the influence of businesses and patient advocates who bear the brunt of the nation's skyrocketing health care costs.
Doctors and hospitals raise concerns that reducing eligibility may spur ER crowding and premium increases, but experience in Missouri shows less dire consequences.
Consumers are increasingly expected to manage their complex regimens but that is especially challenging for those who don't have the ability to comprehend health information.
Some insurers are offering consumers a hefty break if they pay more out-of-pocket when they use certain high-cost providers in their network or are cutting the providers from the coverage.
A Maryland program to curb hospital infection rates is showing signs of success, but nine hospitals still fell short last year and were penalized a total of $2.1 million.
Melanie Bella heads the new federal office that seeks to help people whose coverage is often fragmented because they qualify for both programs and to save the government money by streamlining that coverage.
Some patient advocates, as well as the nursing home industry, object to using managed care for such vulnerable patients, but health plans say they can provide quality services while holding down costs.
One of the lesser-known provisions of the new health law calls for federal loans to help fund health cooperatives. Scott Armstrong, the CEO of Group Health, says that co-ops can improve patient care and contain costs.
The nation's leaders must slog through the complexities and ideologies of the current political landscape in order to craft solutions that will shore up the American safety net and protect its weakest citizens.
Dartmouth researchers argue that ordering screenings for people with no symptoms too often leads to costly treatment for people who would likely never have gotten sick.
Harvard researcher paved the way for a $27 billion effort to push doctors and hospitals into the digital age.
Currently, policies provide only skimpy coverage for these services, which are often expensive. But this is an issue that regulators are wrestling with as they determine what conditions should be included in plans under the health law.
Abandoning and replacing the American Medical Association's Relative Value Scale Update Committee -- a panel that offers recommendations to the Centers for Medicare & Medicaid Services on physician reimbursement policy -- would be an important first step toward re-stabilizing the nation's primary care physician supply the U.S. health system.
In North Carolina's Research Triangle, two forces so often at odds -- a major health care system and the region's dominant insurer -- announced that they would work together in the interest of better, cheaper medicine.
Officials are shaking up procedures with some hospitals abandoning traditional ER beds and cubicles, shifting patients more quickly to medical units and taking over underused hospital space.
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