Health Care Reform

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December 2017
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CMS push to value-based care leading to more burnout

Editor's Note The push by the Centers for Medicare & Medicaid Services (CMS) to transform healthcare delivery at community health centers to value-based care is increasing staff dissatisfaction and burnout, this study finds. From 2013 to 2014, clinicians and staff at 296 centers reported statistically significant declines in multiple measures…

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By: Judy Mathias
August 8, 2017
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Reduction in readmissions not linked to increased mortality

Editor's Note Reductions in readmissions associated with the Affordable Care Act have not had the unintended consequence of increasing mortality after hospital discharge, finds this study. Analysis of more than 5 million Medicare patients hospitalized for heart failure, heart attack, or pneumonia, found that reductions in hospital 30-day readmission rates…

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By: Judy Mathias
July 18, 2017
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Editorial

The inaugural Bundled Payment Bootcamp on June 20 in Nashville, Tennessee, was a timely opportunity for healthcare providers to learn how reimbursement is changing the way they do business. Though the uncertain direction of US healthcare legislation continues to cause consternation, this workshop—which will be presented again in fall 2017—clarifies…

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By: Elizabeth Wood
July 13, 2017
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FDA updates Class II medical devices exempt from premarket notification

Editor's Note The Food and Drug Administration (FDA) on July 11 announced a list of 1,003 Class II devices that the Agency says no longer require premarket notification to provide reasonable assurance of safety and effectiveness. The exemptions were made in an effort to decrease regulatory burdens on the medical…

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By: Judy Mathias
July 11, 2017
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Editorial

Efforts to repeal and replace the Affordable Care Act (ACA) are ongoing, with continued uncertainty about what may happen and when. To keep things in perspective, here’s a snapshot of recent developments. On May 4, the US House of Representatives approved the American Health Care Act (AHCA) by a vote…

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By: Elizabeth Wood
June 20, 2017
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Half million providers to get 2% cut in Medicare payments

Editor's Note More than 500,000 physicians and other providers will get a 2% cut in their Medicare payments because of poor performance in the Physician Quality Reporting System (PQRS), the June 13 Modern Healthcare reports. The penalties are based on 2015 claims data. Though Medicare is phasing out PQRS and…

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By: Judy Mathias
June 14, 2017
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FDA extends UDI compliance dates for Class I, unclassified devices

Editor's Note The Food and Drug Administration (FDA) has notified medical device labelers that the compliance dates for unique device identifier (UDI) requirements for Class I and unclassified medical devices has been extended from September 24, 2018, to September 24, 2020, and for direct mark requirements from September 24, 2020,…

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By: Judy Mathias
June 12, 2017
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Value-based reforms linked to readmission reduction

Editor's Note Hospital participation in value-based reforms was associated with greater reductions in 30-day readmissions, this study finds. In this analysis of 2,837 hospitals between 2008 and 2015, researchers found that participation in one or more voluntary Medicare value-based reforms, which included the Meaningful Use of Electronic Health Records program,…

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By: Judy Mathias
June 6, 2017
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Lower readmission rates linked to Medicare's HRRP

Studies have shown an association between reduced hospital readmission rates and programs implemented as part of the Centers for Medicare & Medicaid Services’ (CMS) Hospital Readmission Reduction Program (HRRP) to reduce healthcare costs and improve quality of care. Researchers from the University of Michigan in Ann Arbor and the RAND…

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By: Elizabeth Wood
May 17, 2017
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Effect of Medicare’s Nonpayment Program on HACs

Editor's Note Medicare’s Nonpayment Program of 2008, which withholds hospital reimbursement for costs related to hospital-acquired conditions (HACs), was associated with a declined in the incidence of selected HACs, and the decline was greater in hospitals with a higher Medicare utilization ratio (MUR), this study finds. Of 867,584 Medicare patients…

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By: Judy Mathias
May 8, 2017
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