Tag: Health Care Reform

Preventability of early vs late readmissions

Editor's Note Early readmissions (within 7 days of discharge) were more likely to be preventable and amenable to hospital-based interventions, and late readmissions (8 to 30 days after discharge) were less likely to be preventable and more amenable to ambulatory and home-based interventions, this study finds. In this study of…

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By: Judy Mathias
May 9, 2018
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CMS issues FY 2019 hospital IPPS proposed rule

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on April 24 issued its hospital inpatient prospective payment system (IPPS) proposed rule for FY 2019. The proposed rule increases rates by 1.75%, which reflects the projected market-basket update of 2.8% for hospitals that were meaningful users of electronic health…

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By: Judy Mathias
April 25, 2018
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CMS issues final rule to increase access to affordable health plans

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on April 9 issued the Health and Human Services Notice of Benefit and Payment Parameters for 2019 final rule. CMS says the rule will mitigate the harmful effects of Obamacare and empower states to relax the rules on what insurers…

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By: Judy Mathias
April 10, 2018
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FDA announces AccessGUDID data update

Editor's Note The Food and Drug Administration announced that new data elements will be available on AccessGUDID, in the download files and in the APIs, as of April 2. Data for FDA Premarket Submission Number and FDA Premarket Supplement Number will not be provided until this summer. The FDA is…

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By: Judy Mathias
April 9, 2018
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EHRs hinder ability to report quality measures

Editor's Note The poor design of electronic health records (EHRs) poses challenges for primary care practices to generate the required reports for federal value-based payment programs, this study finds. An analysis of survey responses from 1,492 practices in 12 states, found that the reports generated for meaningful-use participation, which requires…

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By: Judy Mathias
April 6, 2018
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Medicare program linked to reduced readmission disparities between black, white patients

Editor's Note Black and white disparities in hospital readmission rates narrowed after the introduction of Medicare’s Hospital Readmission Reduction Program that penalizes higher than expected readmissions; however, black and white gaps still persist and minority serving hospitals continued to be penalized more by the program, this study finds. During the…

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By: Judy Mathias
April 4, 2018
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ORBMC 2018 arms business leaders with best practices

San Antonio, Texas, played host to the 2018 OR Business Management Conference (ORBMC), attended by more than 400 surgical services leaders, business managers, and industry leaders from across the US. Attendees chose from a menu of topics—including strategies to increase case volume, efficiency, and data transparency, right-size the OR, and…

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By: Cynthia Saver, MS, RN
March 16, 2018
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Editorial

Mixed signals about the direction of healthcare reform, payment models, and policy decisions have characterized much of the past year. Given the number of highprofile personnel changes in the Trump Administration, the lack of continuity isn’t surprising. In recent days, however, the Centers for Medicare & Medicaid Services (CMS) has…

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By: Elizabeth Wood
March 16, 2018
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Inpatient surgery readmission trends during HRRP

Editor's Note Surgical readmission rates have declined in the past decade, and rates of decline increased during the Hospital Readmission Reduction Program (HRRP) period, this study finds. Between 2005 and 2014, rates of readmission across 8 targeted procedures declined from 12.2% to 8.6%. Before the Affordable Care Act, rates of readmission…

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By: Judy Mathias
March 9, 2018
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CMS extends deadline for eCQM data, EHR incentive program submission

Editor's Note The Centers for Medicare & Medicaid Services (CMS) is notifying eligible hospitals and critical access hospitals that they now have until March 16 to attest for Medicare Electronic Health Record (EHR) Incentive Program requirements for CY 2017 and to submit electronic clinical quality measure (eCQM) data for the…

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By: Judy Mathias
February 28, 2018
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