OR Business
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…
Hip, knee implant market poised for growth
Editor's Note WiseGuyReports predicts the global market for hip and knee surgical implants will reach more than $12 billion by 2021, the August 21 Becker’s Spine Review reports. Three companies dominate the market: Zimmer Biomet, Stryker, and DePuy Synthes.
Orthopedic bundled payment models on the fast track--Part 1
The Centers for Medicare & Medicaid Services (CMS) is poised to launch Bundled Payments for Care Improvement (BPCI) Advanced on October 1, 2018, and is continuing its Comprehensive Care for Joint Replacement (CJR) bundled payment model for total hip and knee arthroplasty (THA, TKA). “Orthopedics is the most important service…
Effect of neuraxial anesthesia on total hip, knee outcomes
Editor's Note Increased use of neuraxial anesthesia was associated with lower hospitalization costs for hip and knee replacements, but more studies are needed before considering neuraxial anesthesia as a marker of quality, this study finds. National data on 808,237 total knee and 371,607 total hip replacements were analyzed. Increasing frequency…
Academic medical centers trailing on cost, quality measures
Editor's Note A new study by consultancy firm Navigant found that academic medical centers are trailing community hospitals across cost and quality measures. Among the findings: Cost per case was 5.8% higher at medical centers, equating to $3.1 million added annual operating expense per center. Cost per case disparity between high…
Hospitals using bundled payments report reduced SNF use and improved care integration
Editor's Note Hospitals participating in Medicare’s Comprehensive Care for Joint Replacement model or its Bundled Payments for Care Improvement initiative for lower extremity joint replacement episodes report reducing skilled nursing facility (SNF) use and improving care coordination, in this survey. Interviews of executives or administrators in each of 22 hospitals…
CMS requires hospitals to post prices online
Editor's Note Part of the Centers for Medicare and Medicaid Services (CMS) final Hospital Inpatient Prospective Payment System and Long-Term Care Hospital Prospective Payment System rule for FY 2019, issued August 2, was a requirement that hospitals post the prices they charge for surgeries and other medical procedures online. The…
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