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Value based payment inequity and reimbursement models with which you should be familiar

MEDPAGETODAY - Financial incentives and patient care in today’s health care industry are near inseparable. This article delineates some important issues and tips about Medicare and Medicaid Services (CMS). Included are benefits from voluntary bundles, care calculation issues, and a study on inconsistencies in value based payment methods from HPM’s ERIC ROBERTS.   

Pioneers in computerized legal research: The story of the Pittsburgh system

PITTSBURGH JOURNAL OF TECHNOLOGY LAW & POLICY -  HPM's Tina Batra Hershey and Dean Burke discuss the early pioneering work of researchers in the legal field who developed the "Pittsburgh System" a precursor to the computerized legal research tools ubiquitous today.  

Meet Molly Shiflet (HPM '19), Hershey Scholarship Awardee

“From a very young age I knew I wanted to pursue a career in service and helping others, says Molly Shiflet. “The field of public health seemed like a perfect fit.” When the time came to look at graduate schools, Shiflet says she immediately was drawn to Pitt Public Health for its strong national reputation and “seemingly endless” opportunities for students.  

Meet Manasa Pallapolu (MHA '19), Hershey Scholarship Awardee

Manasa Pallapolu discovered she had an interest in health care administration while on the pre-med path at Drexel University. After graduation, the Fairfax, Va., native worked as the head of medical billing at a psychiatric office, where she was exposed to “a completely different side of health care.” She decided to return to school to pursue a Master of Health Administration (MHA) degree. 

Meet HPM alumna, Johanna Bellon

JOHANNA BELLON (HPM '15) is the Senior Director of Quality Analytics and Performance at the UPMC Wolff Center. UPMC is a 40+ hospital integrated finance and delivery system with over 3,500 providers and a multitude of clinical sites.  

Lindsey featured on podcast "Black Boys and Men: Changing the narrative"

MCSILVER INSTITUTE – This podcast series brings together thought leaders from the public and private sectors to analyze stereotypes and dispel myths concerning Black boys and men, while providing facts and best practices for those working with these often marginalized populations. MIKE LINDSEY (HPM ’01) says, “with increased media and attention, more folks are attuned to racial issues and the long lasting impact of discrimination.” 

Roberts says value-based payments must address patient mix

MEDPAGE TODAY - A recent study by HPM's ERIC ROBERTS showed that Medicare's Value-based Payment Modifier program inadvertently shifted money away from physicians who treated sicker, poorer patients to pay for bonuses that rewarded practices treating richer, healthier populations. "Risk adjustment is usually inadequate in these programs, in part, because it is difficult to measure the differences in complexity of patients across providers."  

Roberts' article named in Health Affairs "Top Ten"

HEALTH AFFAIRS - Alan Weil, Health Affairs Editor-in-Chief, shares his “Top Ten” favorite articles for 2017. HPM's ERIC ROBERTS' study addressed proposed mergers among large US health insurers and growing consolidation among providers, which have renewed concerns about the effects of market concentration on commercial health care prices.   

Monyei awarded 2017 Dr. Edgar and Lauraine Duncan Endowed Scholarship

ABIGAIL MONYEI (HPM) received this year's Dr. Edgar and Lauraine Duncan Scholarship which helps provide support for resources such as books, fees, stipends, or travel.  

Gellad speaks on Trumps abandonment of promise to lower drug prices during the state of the union address

VOX – In his first State of the Union address, Donald Trump abandoned his pledges to bring down the cost of America’s medicines. Lowering the out-of-pocket costs that normal people feel is worthwhile but that won’t bring down the gross costs of prescription drugs. “They’re just going to raise premiums, or try to offset it another way,” HPM’s WALID GELLAD said of insurance plans. “Someone’s gonna pay the price if the price doesn’t come down.”  

Roberts analyzes Maryland's global budget program

THE COMMONWEALTH FUND - HPM'S ERIC ROBERTS examined changes in hospital and primary care utilization among fee-for-service Medicare beneficiaries in Maryland and control counties outside the state. The researchers aimed to pinpoint utilization changes linked solely to the global budget intervention and not related to prior trends. To this end, the authors compared utilization before Maryland launched the program and during the first two years of... 

Gellad on why drug prices haven't lowered yet

STAT - Congressional efforts to lower drug prices are at a standstill. Powerful health industry players disagree about how to move forward. Every group pushes it's own agenda and strategies, making it unlikely that crushing drug prices will change any time soon. "It is correct that one of the reasons patients are feeling such high prices is because they have to pay coinsurance and deductibles, says HPM's WALID GELLAD. "And it's true that pharma ... 

Gellad on Trump’s failure to attack drug prices as promised

CNBC - “The administration has not lived up to the hype I think people expected around drug prices,” said HPM’s WALID GELLAD of the Center for Pharmaceutical Policy and Prescribing at the University of Pittsburgh. “They’ve done a few things, but it hasn’t lived up to the hype.” 

Gellad on formation of hospital generic drug maker to manage capricious pricing practices

STAT - “The market has spoken,” said WALID GELLAD of HPM and Pitt’s Center for Pharmaceutical Policy and Prescribing. “The key issue for success and sustainability will be how the generic manufacturers and trade groups respond, and also how other hospital groups might respond. It’s a new world. Insurers become hospitals. Hospitals become pharmaceutical manufacturers. At some point, manufacturers will become insurers and providers.” 

Roberts shows Maryland meets goals of cutting health care costs without achieving changes in care delivery

BALTIMORE SUN - “The takeaway so far may be that when hospitals change the way the health care delivery system works, you don’t necessarily get a broader transformation that people had hoped for,” said lead author, HPM’s ERIC ROBERTS. There may be several reasons, including that doctors are not yet widely provided incentives to participate in Maryland’s program. 

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