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Is Dr. Smith in my network? MA enrollees want directories they can count on

by Danielle Moon, Specialist Leader, Deloitte Consulting LLP

During the early part of the decade, I was at the US Center for Medicare and Medicaid Services (CMS) where I headed a group that oversaw the Medicare Advantage (MA) program. At the time, MA provider directories really weren’t on our radar. But these electronic directories have come under scrutiny recently, and CMS is now conducting audits to help ensure the information is up to date and correct.

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Back to school: The reading, writing, and ‘rithmetic of health care

by Sarah Thomas, Managing Director, Deloitte Center for Health Solutions, Deloitte Services LP

Well, it is that time of year again, when dry leaves start skittering around and the days get shorter. School supplies have been purchased and tucked into backpacks, and first-day-of-school photos have been filling up my Facebook page. Summer recess is also over for Congress, which returned to work after Labor Day. What can we expect from the Senate and the House during what remains of 2017?

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Outcomes measurement in the modern era: A hospital imperative

by Claire Cruse, Health Policy Manager, Deloitte Center for Health Solutions, Deloitte Services LP

The so-called “father of outcomes management” – Ernest Codman – began developing ways to standardize and track patient results in the early 1900s. Dr. Codman pioneered the outcomes movement, using what he called “End Results Cards” to document demographic, diagnosis, and treatment data on each patient he treated.

Today, his legacy lives on in many ways,

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Experiments with Medicaid work requirements could create opportunities, administrative hurdles for health plans

by Jim Hardy, Specialist Leader, State Health Transformation Services, Deloitte Consulting LLP

You probably won’t find many glass beakers, test tubes, or Bunsen burners within the offices of state lawmakers, but that doesn’t mean there isn’t a good bit of experimentation being discussed within these “laboratories of democracy.” The concept of states as laboratories goes back to the early part of the 20th century when Supreme Court Justice Louis Brandeis used it to describe how a state could “if its citizens choose,

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Moving from “sick care” to “health care”

by Melissa Majerol, health care research manager, Deloitte Center for Government Insights, Deloitte Services LP

We know that an ounce of prevention is worth a pound of cure. So why do we still expend so much effort treating people after they get sick, and so little addressing the conditions that make them sick in the first place? How do we move from a sick care system to a health care system?

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