What Works
Robert Calandra
The caveat: Joint replacements might be a sweet spot for bundled payments. They might not work as well for other episodes of care.
What Works
Sarah Kwon
The caveats: They may need to be part of larger programs to be effective. And smoking rates have fallen but remain stubbornly high among people without privilege.
What Works
Jan Greene
The caveats: Most of the evidence involves routine care. It is uncertain whether nurse practitioners will be willing to work in rural areas to fill the primary care void.
News Wire
Agency researchers scramble to find the cause of a virus that’s affected about 160 children.
Combination of Experimental Drug and Checkpoint Inhibitors Fight Tumor Cells
Empagliflozin Could Help Prevent Heart Disease and Heart Failure
AI Software Helps Physicians Prioritize Patients with Hemorrhagic Stroke or Intracranial Trauma
First Once-Daily, Nebulized Bronchodilator Available at End of 2018
What Works
Michael D. Dalzell
The caveats: P4P programs don’t have a great track record, and avoiding risky patients may prove to be an unintended consequence.
What Works
Frank Diamond
The caveats: About 40,000 Americans are newly infected every year. And HIV infection is still among the top 10 leading causes of death among Americans between the ages of 25 and 44.
What Works
Jan Greene
The caveats: It is difficult to study. The strongest evidence is for palliative care in hospitals.
CURRENT ISSUE November 2018

Winning Moves in Health Care

Sure, we learn from our mistakes. But we also learn from our successes. Managed Care this month looks at almost a dozen developments in health care that can be called victories although, as with everything in the industry they can’t be called complete victories. That’s why we added some caveats to our topics.

For instance, palliative care improves quality of life and symptoms. Caveat: It is difficult to study. The strongest evidence is for palliative care in hospitals.

Antiviral drugs have made hepatitis C eminently treatable. Caveat: Though prices are now falling the high cost still means many who might benefit don’t have access to the medications.

Nurse practitioners provide quality primary care at a lower cost than physicians. Caveat: Most of the evidence involves routine care.

Still, mostly success stories for a change. What’s not to like?

UPCOMING MEETINGS
Scottsdale, AZ
January 28-29, 2019
What Works
Timothy Kelley
The caveats: Recent research says the evidence for improved outcomes was of moderate quality. And VBID still hasn’t proved its mettle as a cost saver.
What Works
Joseph Burns
The caveats: California stands out as the exception to the rule. And its program is thorough and fairly involved.
What Works
Susan Ladika
The caveat: The prices are now falling for various reasons, but the high cost still means many who might benefit don’t have access to the medications.
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