Editor's Note Over the next 10 years, the Affordable Care Act (ACA) will cost $1.34 trillion, which is $136 billion more than the Congressional Budget Office predicted a year ago, the San Francisco Chronicle reports. The hike in costs is mostly a result of higher-than-expected enrollment in the expanded Medicaid…

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Editor's Note The number of physicians that participated in the Centers for Medicare & Medicaid Services (CMS) “meaningful use” program dropped from 228,662 in 2014 to 226,514 in 2015, and hospital participation declined from 4,177 to 4,071, Bloomberg BNA reports. The drop in participation occurred despite repeated efforts by CMS…

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Editor's Note The Centers for Medicare & Medicaid Services on February 26 once again extended the deadline for hardship exemptions for the “meaningful use” requirement of the electronic health records incentive payment program, Modern Healthcare reports. The new deadline for hospitals, critical access hospitals, physicians, and other eligible professionals is…

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Editor's Note This study from the Department of Health and Human Services (HHS) found that readmission trends are consistent with the response by hospitals to incentives to reduce readmissions, including financial penalties, as mandated by the Affordable Care Act. No evidence was found that changes in observation-unit stays accounted for…

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Editor's Note The Centers for Medicare & Medicaid Services (CMS) and major health insurance plans, in concert with physician groups and other stakeholders, on February 16 announced a new agreement to standardize measures of quality for physicians. The agreement outlines seven core measure sets to be used as a basis…

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Editor's Note A Studer Group survey finds that nearly 90% of physicians have experienced burnout, and almost two-thirds say they are thinking about leaving the profession, the February 2 EHR Intelligence reports. Among the major causes of burnout cited were overcompensating for low staffing levels and the regulatory burdens of…

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Editor's Note Last year, government regulators blocked large companies that employ many low-wage workers from claiming that insurance coverage with no inpatient hospital benefits met the Affordable Care Act’s rules. These same companies are now purporting to meet the rules with plans that exclude outpatient surgery, the January 21 Washington Post…

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Editor's Note The Medicare Access and CHIP Reauthorization Act of 2015 requires that physicians be measured on their meaningful use of electronic health record (EHR) technology for purposes of determining their Medicare payments. EHR incentive programs were designed to encourage the adoption of new technology and measure the benefits for…

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Change is uppermost in people’s minds as a new year begins, so the time seems right to anticipate changes we’ll see in healthcare in 2016. To imagine some of what the future holds, consider two recent changes in how providers are being reimbursed: ICD-10, the vastly expanded DRG codes that…

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Editor's Note The Meaningful Use program will be ending some time in 2016, the Centers for Medicare & Medicaid Services acting administrator, Andy Slavitt, announced January 11. New value-based payment regulations demand a more streamlined regulatory approach, noted Slavitt, speaking at the J P Morgan Healthcare conference in San Francisco.…

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