Drug Shortages Plague Healthcare Facilities While Natural Disaster Recoveries Continue

As the U.S. continues to recover from humanitarian crises caused by last year’s natural disasters, a lesser-known and far-reaching concern plagues the health care industry, specifically drug manufacturing. Puerto Rico, one of the world’s largest centers for pharmaceutical manufacturing, is responsible for the production of 10% of all pharmaceutical products consumed in America. Damage from […]

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FDA Approves a New Treatment for Opioid Use Disorders

As one year ends and another begins, we look back and remember the major news events of the year: politics; entertainment; the hurricanes that devastated Louisiana, Texas, Puerto Rico, Cuba, and the Virgin Islands—and something that destroyed many people’s lives—the opioid epidemic. We all have read about or even known someone who was or is opioid dependent—like […]

Medicaid’s Role in Supporting Nontraditional Opioid Overdose Treatments

Opioid Abuse and Medicaid Opioid and other substance abuse disorders affected about 12 percent of all Medicaid beneficiaries in 2015 (Mark, Lubran, McCance-Katz, Chalk, & Richardson, 2015). Patients who overdose on opioids are more likely to survive if the drugs they need to counteract the overdose are included as part of their Medicaid drug benefit […]

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Survey Says: It’s Time for “We the People” To Save Health Care for All

The American Health Care Act. The Better Care Reconciliation Act. Skinny Repeal. Graham-Cassidy. The 115th Congress has attempted to repeal and replace the Affordable Care Act so many times this year, it’s hard to keep up–even for those of us in the field. In today’s political climate, it’s easy to blame elected officials for the […]

Courage, Conscience, Cooperation: The Keys to Achieving Sustainable Health Care

StrategicHealthSolutions, LLC (Strategic) is working hard to ensure that health care dollars are going to the right providers for medically necessary treatments and services and protecting the Medicare and Medicaid programs that are crucial to millions of people across the country. It will take cooperation, conscience, and especially courage to protect our health care programs, […]

Why Now: Transitioning from Traditional Fee-For-Service to Value-Based Care (Part 3)

This month, we’re bringing you the final installment of our three-part series on the alternative health care payment models in Medicare. Part 1 introduced the different payment models, Part 2 covered the pros and cons of each, and this post will focus on the transition to value-based care, sometimes referred to as a “bundled payments” model. 

Paying for Better Health: At the Crossroads (Part 2)

This month, we’re bringing you Part 2 in our 3-part series on the alternative health care payment models in Medicare, covering the pros and cons of each. As mentioned by Dr. Anton Piskac in our previous blog post, three main payment models have been introduced to replace the outdated Fee-For-Service model: managed care, bundled payments, […]

A Better Way to Pay: Shifting Health Care Payment Models

The way health care is delivered and paid for is undergoing a dramatic transformation. Our nation’s single largest health care purchaser, Medicare, is phasing out the fee-for-service payment model, where doctors are paid based on the volume of services they provide. By 2018, 90 percent of Medicare payments will be for value-based care, where doctors […]

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Tackling Medicare Disparities

Does it sound reasonable that you’d be charged 140% more for receiving an ultrasound in a hospital-owned facility than if you’d gone to a privately-owned doctor’s office? Or 70% more for a standard office visit? Medicare doesn’t think so either, and new changes to payment policies are addressing this inconsistency. In recent years, there has […]

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The Affordable Care Act’s Anti‐Fraud Provisions Have Helped Recover $10.7 Billion and Should be Expanded, Not Repealed

You can’t turn on the news lately without being bombarded with opinions on the Affordable Care Act (ACA) and the recently pulled American Health Care Act (AHCA). While most of the debate has been about the repeal of the ACA insurance mandate and various subsidies, there are a number of lesser-known, highly impactful provisions in […]