Surprise out-of-network doctor bills are much more common than we thought

In a recent Health Affairs article, the Commonwealth Foundation conducted their periodic survey of eleven countries to see how access issues might have improved or worsened. Even with the passage of the Affordable Care Act, more people in the United States had a cost-related barrier to accessing care in the United States than any other comparable country.

Previous Medicaid Expansion May Have Had Lasting Positive Effects On Oral Health Of Non-Hispanic Black Children

In this study published in the December 2016 edition of Health Affairs, authors examined the effects of a historic expansion in Medicaid eligibility on the adult oral health of those who gained eligibility as infants. The authors used data from several years of Behavioral Risk Factor Surveillance System (BRFSS) surveys and a sample of adults born between 1979 and 1991. Findings conclude that expanded Medicaid coverage geared toward pregnant women and children during their first year of life was linked to better oral health in adulthood among non-Hispanic blacks.

Oregon/California Learning Exchange (Or/CaX)

Nearly 100 safety net leaders attended the Oregon/California Learning Exchange (Or/CaX) held in Oakland on March 29, 2016 to learn about pioneering care delivery transformation efforts taking place in each other’s communities. A morning panel session discussed the two states’ experiences with FQHC Alternative Payment Methodology (APM) demonstrations, and the afternoon was packed with “Bright Spot Breakout Sessions” and “Office Hours”, where participants learned about specific innovations and care delivery models being tested and implemented in peer organizations. The convening was organized in partnership with the Oregon Primary Care Association and Blue Shield of California Foundation.

The ACO Conundrum: Safety-Net Hospitals in the Era of Accountable Care

Safety net hospitals do not have a long history of participating in ACOs. This Bailit Health Purchasing brief, based on interviews and experiences within safety net hospitals, explores why and what can be done to meet ACO challenges.

Key Elements to Consider in ACO Agreements

This action brief from the Health Care Transformation Task Force outlines areas providers and administrators should consider when joining or establishing an Accountable Care Organization.

Key Payer and Provider Operational Steps to Successfully Implement Bundled Payments

This Bailit Health Purchasing brief provides an in-depth review of the operational steps health plans and providers are taking to be successful under bundled payment.

Four Innovative Strategies to Help Providers Succeed Under Payment Reform

This report from the Robert Wood Johnson Foundation and prepared by Bailit Health Purchasing, LLC consolidates experiences and best practices from health care payment reform experts into four specific strategies. The strategies include target population identification, creative care management responses, understanding costs, and information support for providers.

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