Tag: Health Care Reform

Study: Complexity of quality measures impeding adoption

Editor's Note Nearly three-quarters of physicians and health plan executives say quality measures are too complex, making it difficult for physicians to achieve them in a survey by Quest Diagnostics and Inovalon. Other findings include: 65% of physicians don’t have all the patient information they need 64% of physicians don’t…

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By: Judy Mathias
June 16, 2016
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Healthcare providers struggling to transition to VBP

Editor's Note Moving to information systems and data requirements of the new value-based payment (VBP) reimbursement system is proving to be a daunting challenge for healthcare providers, the June 13 Health Data Management reports. A survey of healthcare executives from 190 hospitals shows that only 3% of respondents provide more…

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By: Judy Mathias
June 14, 2016
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NYC hospital downsizing in response to changes in care models

Editor's Note New York City’s (NYC’s) 825-bed Mount Sinai Beth Israel hospital will close in 4 years and be replaced by a much smaller 70-bed facility while expanding outpatient surgery, primary care, and behavioral health services, the May 25 New York Times reports. Officials blame the high cost of health…

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By: Judy Mathias
June 1, 2016
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Vulnerable hospitals and unintended consequences of the Affordable Care Act

Editor's Note Vulnerable status of hospitals is linked to higher readmission rates after major cancer surgery, this study finds. Of 355 hospitals analyzed, safety net hospitals and high Medicaid hospitals had higher 30-day, 90-day, and repeated readmissions. The findings reinforce the need to account for socioeconomic variables in risk adjustments…

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By: Judy Mathias
May 31, 2016
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VBP program rewards 231 low-quality hospitals

Editor's Note Through its Value Based Purchasing (VBP) program, the  Centers for Medicare and Medicaid Services (CMS) paid bonuses to 231 hospitals with lower quality because their patients were less expensive, this study finds. CMS began measuring both spending and quality in FY 2015 to encourage hospitals to provide more…

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By: Judy Mathias
May 5, 2016
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Teaching hospitals penalized for aggressive screening

Editor's Note Nearly half of US academic medical centers are being penalized by Medicare because their aggressive screening of patients leads to identification of more infections and other complications that trigger penalties, the April 20 Kaiser Health News reports. The Centers for Medicare & Medicaid Services (CMS) maintains that the…

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By: Judy Mathias
April 26, 2016
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Editorial

Healthcare, business, and political leaders convened at the World Healthcare Congress in Washington, DC, in April to discuss payment, regulatory reforms, new technology, and evolving models of patient care. During the Nurse Leadership Summit portion of the conference, a session on population health management was noteworthy. Panel members discussed transitional…

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By: OR Manager
April 20, 2016
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Some 60% of hospitals could face penalties under new joint replacement rule

Editor's Note A new analysis by Avalere Health (Washington, DC) finds that 60% of hospitals participating in Medicare’s Comprehensive Care for Joint Replacement bundled-payment model could face penalties if they don’t reduce their costs. The average total joint costs around $13,000, but the entire episode-of-care costs twice that at $26,000.…

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By: Judy Mathias
April 13, 2016
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Scripps Health eliminates 100 management jobs

Editor's Note San Diego-based Scripps Health announced March 21 that it will restructure its management and eliminate about 100 jobs, mostly from management and administration, in an effort to reduce operating expenses, Modern Healthcare reports. A memo to Scripps employees noted that although Scripps has enjoyed healthy operating margins and…

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By: Judy Mathias
March 29, 2016
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EHRs leading to physician burnout

Editor's Note Physicians are beginning to dread what some are calling “EHR pajama time”--the 1 to 2 hours they now have to spend at home finishing up their electronic health record (EHR) documentation after their kids have gone to bed, notes the ACS Surgery News, reporting on a session at the…

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By: Judy Mathias
March 29, 2016
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