Health Care Reform

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October 2020
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Most hospitals will get increased Medicare payments in 2019

Editor's Note The Centers for Medicare & Medicaid Services announced December 3 that more than 1,550 hospitals will share $1.9 billion in bonus payments under the Hospital Value-Based Purchasing Program for FY 2019. Though it is a slight decline from FY 2018, average performance scores were higher at 38.1%, compared…

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By: Judy Mathias
December 6, 2018
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HHS issues draft strategy to reduce burdens linked to EHRs, health IT

Editor's Note The Department of Health and Human Services (HHS) on November 28 issued a draft strategy to reduce administrative and regulatory burdens caused by electronic health records (EHRs) and health information technology (health IT). The draft “Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health…

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By: Judy Mathias
November 29, 2018
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Study: 'Meaningful use' of EHRs linked to shorter LOS

Editor's Note Hospitals that successfully attested to "meaningful use" of electronic health records (EHRs) experienced a shorter patient length of stay (LOS) in this study. This analysis of patient data from California categorized hospitals into one of three categories−partial adoption of EHRs, full adoption of EHRs, and meaningful assimilation of…

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By: Judy Mathias
November 28, 2018
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Reliability of measuring surgeon spending for MIPS

Editor's Note The Centers for Medicare & Medicaid Services should measure surgeon spending at a group level or incorporate multiple years of data to reduce misclassification of surgeon performance in its Merit-based Incentive Payment System (MIPS) program, this study finds. University of Michigan researchers found that annual cost-profiles of individual…

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By: Judy Mathias
November 27, 2018
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Editorial

Polls leading up to the midterm elections put healthcare as the top issue of concern among likely voters, with gun policy, Supreme Court nominees, the economy and jobs, and education right behind it. In a year fraught with an ever-widening chasm along party lines, there were distinctly different priorities among…

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By: Elizabeth Wood
November 14, 2018
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93% of eligible clinicians received MIPS payment under QPP last year

Editor's Note New data from the Centers for Medicare & Medicaid Services (CMS) shows that 93% of eligible clinicians who participated in the Merit-Based Incentive Payment System (MIPS) under the Quality Payment Program (QPP) received positive payment adjustments for their performance last year, the November 9 EHR Intelligence reports. Only…

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By: Judy Mathias
November 13, 2018
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CMS gives states more Medicaid waiver power, and flexibility to lower premiums

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on October 22 issued guidance that gives state governors more power and flexibility in overhauling the rules and regulations of their Medicaid programs imposed by the Affordable Care Act and changes the way waivers are evaluated. Under the new policy,…

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By: Judy Mathias
October 22, 2018
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Early action advised to achieve better OAS CAHPS responses

Mandatory implementation of the Consumer Assessment of Healthcare Providers and Systems Outpatient and Ambulatory Surgery Survey (OAS CAHPS) originally scheduled for 2018 has been delayed, but that does not mean it should be ignored, say ambulatory surgery center (ASC) leaders. The earliest projected date when the survey could become mandatory…

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By: Janet M. Boivin, BSN, BSJ, RN
October 18, 2018
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CMS: 1,299 providers join new bundled payment initiative

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on October 9 announced that 1,299 healthcare providers are participating in its new Bundled Payments for Care Improvement−Advanced model, which began October 1 and will continue until December 31, 2023. The program includes 32 bundled clinical episodes (29 inpatient, 3…

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By: Judy Mathias
October 11, 2018
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CMS easing safety-net hospitals’ readmission penalties

Editor's Note The Centers for Medicare and Medicaid Services (CMS), on orders from Congress, is easing its annual readmission penalties on hospitals servicing low-income residents, the September 26 Kaiser Health News reports. The penalties are part of the Affordable Care Act’s effort to encourage better care. The sanctions have been…

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By: Judy Mathias
September 27, 2018
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