Avicenna Medical Blog

Care Management Weekly News Update 9/18/24

Posted by DeAnn Dennis on Wed, Sep 18, 2024 @ 11:30 AM

A new study suggests major pharmacy benefit managers may be focusing on specific payer segments in a bid to maintain strong market share. The analysis, released in the Journal of the American Medical Association, finds that CVS Health's Caremark holds the largest market share overall in the PBM space. However, it led by the largest margin Medicaid managed care, controlling 39.2% of the market.

While most EHR vendors have progressed in their ability to connect to national record exchanges and HIEs, healthcare organizations report that government data-sharing standards are still inadequate and unenforced and that EHR vendors often do not consistently facilitate needed data sharing. Additionally, healthcare organizations often feel unempowered to improve interoperability for their clinicians and patients.

In August, Daniel Yang, MD, vice president of artificial intelligence and emerging technologies at Kaiser Permanente, voiced concerns to The Wall Street Journal about the widening gap in AI adoption. "The AI 'haves' will be large, well-resourced systems like Kaiser Permanente that invest in testing, evaluating, and responsibly deploying AI technologies for the benefit of our members," Dr. Yang said. 

AMGA survey finds primary care specialty compensation slowing compared to others

Medical groups and healthcare organizations reported a spike in compensation across a number of specialties in 2023, according to a recent survey. The 2023 Medical Group Compensation and Productivity Survey, conducted by AMGA, included data on more than 190 specialties and reached 459 medical groups. These groups represented more than 189,000 providers and nearly 2,000 executive positions. About half of respondents are AMGA members. The findings were announced in July, but the full survey results were released in early September.

The iPATH trial, one of the newest additions to the NIH Collaboratory Trials portfolio, is testing the implementation of a practice transformation strategy for patients with type 2 diabetes in federally qualified health centers (FQHCs) in California, Massachusetts, Ohio, and Puerto Rico.
In the iPATH (Implementing Scalable, Patient-Centered Team-Based Care for Adults With Type 2 Diabetes and Health Disparities) project, a network of research teams from Stanford, Harvard, the Ohio State University, and Impactivo LLC is working to refine and implement an an approach to practice transformation originally conceived to support FQHCs’ pursuit of National Committee for Quality Assurance recognition as patient-centered medical homes. 

 

Tags: Weekly Industry News