Medicare

Latest Issue of OR Manager
September 2020

Physicians negatively affected by EHRs

Editor's Note Physicians are more likely to leave the profession or reduce their hours if they are uncomfortable using electronic health records (EHRs), the January 24 Medical Economics reports. Although EHRs have the potential to enhance quality of care and clinical coordination, they also increase risk of physician burnout, reduce…

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By: Judy Mathias
January 25, 2018
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CMS announces new voluntary bundled payment model

Editor's Note The Centers for Medicare and Medicaid Services (CMS) on January 9 announced a new voluntary bundled payment model called, “Bundled Payments for Care Improvement Advanced” (BPCI Advanced). Participants in BPCI Advanced will receive payments for performance on 32 (29 inpatient, 3 outpatient) different clinical episodes. The first cohort…

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By: Judy Mathias
January 10, 2018
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CMS launches new data submission system for Quality Payment Program

Editor's Note The Centers for Medicare & Medicaid Services (CMS) announced on January 2 that physicians and other eligible clinicians participating in the Quality Payment Program can begin submitting their 2017 performance data using a new system on the Quality Payment Program website (qpp.cms.gov). The new system is an improvement…

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By: Judy Mathias
January 3, 2018
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CMS updates Hospital Compare site

Editor's Note The Centers for Medicare & Medicaid Services (CMS) announced December 21 that it updated data on its Hospital Compare website and will update the Overall Hospital Quality Star Rating using a new methodology that will give more hospitals one or five stars. CMS had postponed the release of…

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By: Judy Mathias
January 2, 2018
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CMS finalizes changes to bundled-payment models

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on November 30 announced a final rule that cancels the mandatory hip fracture and cardiac bundled-payment models, which were to begin on January 1, 2018, and implements changes to the Comprehensive Care for Joint Replacement (CJR) Model. In the final…

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By: Judy Mathias
November 30, 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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House passes legislation impacting ASCs

Editor's Note The US House of Representatives on November 30 passed the 21st Century Cures Act that includes two provisions benefiting Medicare patients and physicians in ambulatory surgery centers (ASCs), the Ambulatory Surgery Center Association reports. The first provision creates a public website that allows Medicare patients to compare differences…

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By: Judy Mathias
December 2, 2016
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Joint Commission announces Medicare-deemed ASC survey changes

Editor's Note The Joint Commission on November 30 announced that to better align with Medicare surveyor guidelines, ambulatory surgery centers (ASCs) electing to use the Medicare-deemed option may receive adjustment to the length of time for the survey and number of surveyors. The Life Safety Code component of the survey…

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By: Judy Mathias
December 1, 2016
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Henry Ford drops out of total joint bundled-payment program

Editor's Note Henry Ford Health System (Detroit, Michigan) is one of dozens of organizations that have dropped out of Medicare’s bundled payment model program in the past 3 years, the November 29 Modern Healthcare reports. In 2013, three of Henry Ford Health System hospitals participated in the first phase of…

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By: Judy Mathias
November 30, 2016
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Nonhierarchical vs hierarchical modeling to measure hospital performance

Editor's Note In this study, nonhierarchical modeling to measure hospital performance frequently misclassified average-quality hospitals as low quality, and hierarchical modeling misclassified low-quality hospitals as average. At low hospital case volumes, hierarchical modeling missed 90.6% of low-quality hospitals, and nonhierarchical modeling missed 65.3%. However, 38.9% of hospitals classified as low-quality…

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By: Judy Mathias
September 30, 2016
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