OR Business
CMS plans innovative new VBP models
Editor's Note The Centers for Medicare and Medicaid Services (CMS) will be unveiling new payment models centered on high-cost areas as part of ongoing efforts to advance value-based payment (VBP) care, and some models could be mandatory, the September 20 Healthcare Finance News reports. Healthcare providers can expect reduced regulatory…
Orthopedic bundled payment models on the fast track--Part 2
According to a 2016 McKesson report, payers expect value-based reimbursement, including bundled payments, to grow from a third of their business to a majority of it in 5 years. And as noted in Part 1 of this two-part series (OR Manager, September 2018, 1, 13-17), bundles are advancing on multiple…
New service lines can create opportunities for ORs
As hospital administrators face shrinking operating margins, OR leaders are being called upon to create innovative approaches for boosting revenue. Adding a new service line is one option, but it carries both risks and rewards. Only by careful analysis and follow-through can OR leaders hope to tip the balance to…
Value-based payment models moving forward
Editor's Note Accountable care organizations (ACOs) and other value-based payment (VBP) models are increasing in the US, and there is no longer any question of whether private payers and the Centers for Medicare and Medicaid Services (CMS) will continue to support value-based payments, according to the August 14 Health Affairs…
Is nursing ready for competition from for-profit, nonhealthcare companies?
Editor's Note With the announcement by Amazon, Berkshire-Hathaway, and JP Morgan to form a nonprofit consortium to manage costs and quality of healthcare for their employees, nursing leaders are looking at its implications and asking questions: Is nursing care affordable if it is not linked to improved outcomes? What price…
Hospital employment continues its rise in August
Editor's Note US hospitals added 8,200 jobs in August to a seasonally adjusted 5,189,300, the Bureau of Labor Statistics reported on September 7. That is up 94,600 more employees than a year ago. Overall, healthcare employment has increased by 301,100 in the past year. The overall unemployment rate is 3.9%.
Healthcare systems form own generic drug company
Editor's Note Seven healthcare systems representing 500 US hospitals are forming Civica Rx, a nonprofit company that will manufacturer generic drugs, in an effort to combat shortages and skyrocketing prices, cnbc.com reported September 6. The company, which is teaming up Intermountain Healthcare, the Mayo Clinic, HCA Healthcare, and four others,…
Effect of Medicare’s bundled payment program on volume, case mix
Editor's Note Hospital participation in Medicare’s Bundled Payments for Care Improvement (BPCI) program for lower extremity joint replacement (LEJR) was not associated with changes in overall procedural volume or the majority of patient case-mix factors, this study finds. The analysis of 1,717,243 Medicare patients found hospital participation in the BPCI…
First year analysis of CJR bundled payment model
Editor's Note This interim analysis of the first year of the Comprehensive Care for Joint Replacement (CJR) bundled payment model finds that CJR may reduce institutional postacute care. Of 75 metropolitan statistical areas (MSAs) that were assigned the bundled payment model and 121 control MSAs, the mean percentage of discharges…
Hospital execs facing shortage of physicians, nurses
Editor's Note A Navigant analysis of survey data from the Healthcare Financial Management Association finds that hospital executives are facing continued shortages of physicians, nurses, and mental health providers in the coming years, and they will be focusing on labor and supply chain productivity to reduce hospital operating expenses, the…
Free Daily News
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