News & Events

  • Most children’s health system experience is limited to the pediatrician’s office, but those with chronic or complex medical needs often deal with care that is fragmented, duplicative and crisis-driven. This leads to stress on families and wasteful utilization.

  • Just 5 percent of the population accounts for 50 percent of national health spending. Behind these numbers are patients and families struggling with multiple chronic conditions, physical and mental impairments, and tremendous stress.

  • Washington, DC – October 10, 2014 – NIHCM Foundation has awarded $215,000 to eight organizations through the first cycle of its new journalism grant program announced earlier this year.

  • The Relative Value Scale Update Committee (RUC)—a small panel of medical professionals whose recommendations have considerable influence over Medicare payment levels for their own services—has drawn quite of bit of political and media scrutiny recently.

  • More than 8 percent of two- to five-year-olds are obese, and another 23 percent are overweight and at substantial risk of becoming obese by the eighth grade. These early years are a critical time to focus on the development of healthy habits.

  • The annual cost of cancer care in the U.S. is large and growing—projected to hit $184 billion by 2020. This fiscal reality has spurred interest in bundled-payment models that reward providers for maintaining or improving clinical outcomes while controlling costs.

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On February 14, 2011 NIHCM Foundation hosted a meeting of experts  in Washington, DC.

Risk adjustment will be a critical

mechanism for ensuring the stability of the new health insurance exchanges that will begin in 2014 and achieving the promise of health reform with respect to expanded access to insurance coverage.  Many decisions and activities will be needed,  however, between now and 2014 and even beyond in order to put an effective risk mitigation system into place, requiring close collaboration between federal and state policymakers, health insurers and other stakeholders.

 

This meeting brought together an outstanding group of 50 actuaries,  economists, federal and state policymakers, health plan representatives,  consultants and other stakeholders for a candid discussion of the challenges in developing and implementing risk adjustment under health reform and potential ways to address these challenges. Click here for meeting details.

 
1225 19th St. NW, Suite 710, Washington, DC 20036 · Tel: 202-296-4426 · Fax: 202-296-4319


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