Americans are more stressed about money than they’ve ever been, according to the American Psychological Association’s latest Stress In America Survey . “Eighty-seven percent of Americans said that inflation and the rising costs of everyday goods is what’s driving their stress,” said Vaile Wright, senior director of health care innovation at the American Psychological Association. More than 40% of U.S. adults say money is negatively impacting their mental health, according to Bankrate’s April 2022 Money and Mental Health report . “I was in debt off and on all of my 20s and early 30s,” Tawnya Schultz, founder of The Money Life Coach, told CNBC. “I was in this debt cycle of trying to get out of debt, paying off debt, getting back into it. And I was just tired of feeling like I could never get out of it or feeling like I was always going to have debt.” Some Americans lack hope they will ever have enough money to retire, with roughly 40% saying their ability to be financially secure in reti...

In 2019, the Ohio Department of Medicaid (ODM) launched the Medicaid Managed Care Procurement process with a bold, new vision for Ohio’s Medicaid program – one that focuses on people and not just the business of managed care. This is the first structural change since Centers for Medicare & Medicaid Services’ (CMS) approval of Ohio’s program in 2005.   With the projected implementation of Ohio Medicaid’s next generation of managed care on July 1, 2022, ODM intends to put the individual at the center of focus and improve the design, delivery, and timeliness of care coordination. This effort depends on the collective implementation of several strategic initiatives, including: Ohio Medicaid Managed Care Procurement OhioRISE (Resilience through Integrated Systems and Excellence) Single Pharmacy Benefit Manager Fiscal Intermediary (FI) Provider Network Management (PNM) Module & Centralized Credentialing Learn more about the new next generation program timeline on the Managed Care...

If you are one of the roughly one in four Ohioans who get their health coverage through the state’s Medicaid program there are changes coming your way this year that will require you to play an active role in selecting your coverage each year from here on out. The “Next Generation” overhaul set to launch in July gets rid of the automatic re-enrollment and has been three years in the making. It is designed to improve efficiencies in the system and administrative cost savings while getting Ohio’s roughly 3 million Medicaid users more involved in their own healthcare choices which can lead to healthier outcomes. If you don’t select a plan, you’ll still have coverage — it’s just an algorithm will be used to do it for you. If you are one of the roughly 1 in 4 Ohioans who get their health coverage through the state’s Medicaid program, there are changes coming your way this year that will require you to play an active role in selecting your coverage each year from here on out. If you give a c...

Higher amounts of overuse among health systems were associated with investor ownership and the number of primary care physicians. Overuse of low-value services was most often seen in healthcare systems that had more beds, had fewer primary care physicians, had more physician practice groups, and were investor-owned, according to a John Hopkins University study published in JAMA Health Forum.  “Wasteful care is physically, psychologically, and financially harmful to patients,” the researchers stated in the study. “Health systems may play an important role in the overuse of health care. They balance financial interests when making decisions about strategic consolidations or new service lines, complying with state and federal regulations, and aiming for high-quality care delivery and best patient outcome.” In the cross-sectional analysis, researchers used Medicare claims between March and August 2021 to identify the utilization of 17 low-value services across 3,735 hospitals. In addi...

Claims data access is a major obstacle for providers, impacting revenue cycle management. With the right technology, providers can reap the benefits of electronic claims payment adoption. Healthcare claims contain a wealth of information. Each service line on a claim paints a picture of a patient’s healthcare journey, including their quality of care as well as the cost of that care. Claims data is key to improving population outcomes, reducing total cost of care, and improving the overall experience for patients and providers. However, providers oftentimes cite barriers to accessing claims data. Top challenges include data quality and completeness of claims data, while research has also shown that providers struggle to integrate claims data from multiple sources and convert claims data into more useful information. The challenges of claims data access have prevented providers from gleaning key insights on their patients and care delivery, researchers found. Some providers have also sa...

Members of Congress want the White House to investigate nurse staffing agencies after receiving reports of price gouging. A bipartisan group of 195 Congress members wrote to the White House COVID-19 Response Team Coordinator Jeffrey Zient requesting an investigation into reports of alleged price gouging by nurse staffing agencies. The bipartisan group of lawmakers, led by Representatives Peter Welch (D-VT) and Morgan Griffith (R-VA), accused some nurse staffing agencies of increasing their prices to profit from the pandemic.  The members of Congress want the enlistment of federal agencies to determine if this conduct is the result of anticompetitive activity or if it violates consumer protection laws. “We urge you to ensure that this issue gets the attention from the federal government it merits to protect patients in dire need of life-saving health care treatment and prevent conduct that is exacerbating the shortage of nurses and straining the health care system,” the lawmakers s...

A report shows that overall healthcare employment remains below pre-pandemic rates. However, ambulatory care employment rates have fully recovered. January 26, 2022 – In 2021, healthcare employment experienced no significant growth. However, ambulatory care employment saw an increase in jobs exceeding pre-pandemic rates, an analysis from Altarum revealed . Healthcare employment gained 63,000 jobs, a modest 0.4 percent rise, compared to employment rates in December 2020. Meanwhile, employment in the ambulatory care sector, such as provider offices, clinics, labs, and home health agencies, increased by 3.1 percent in 2021.  The report showed that employment decreased for the nursing and residential care sectors by 4.7 percent. Additionally, the hospital sector experienced a 0.6 percent drop in jobs.  Ambulatory care jobs rose by 242,000 jobs last year, while hospitals experienced a loss of 33,000 jobs and nursing and residential care jobs fell by 46,000.  Over three-fourths...