Editor's Note In this study, researchers found persistent differences in the surgical care of racial and ethnic minorities despite the formation of Accountable Care Organizations (ACOs), which were expected to reduce healthcare disparities and improve access to surgical services. Rates of surgical interventions in the ACO cohort were significantly lower…
Editor's Note The US Congress on February 9 passed a budget deal that will have a significant impact across nearly every sector of the healthcare industry, the March 9 Business Insider reports. Among the initiatives are: $2 billion for the National Institutes of Health $6 billion to combat the opioid…
Editor's Note Physicians are more likely to leave the profession or reduce their hours if they are uncomfortable using electronic health records (EHRs), the January 24 Medical Economics reports. Although EHRs have the potential to enhance quality of care and clinical coordination, they also increase risk of physician burnout, reduce…
Uncertainty was the defining characteristic of the healthcare industry in 2017 as regulatory changes were proposed, rejected, revised, or tabled for now. The individual insurance mandate was repealed as part of a year-end tax reform bill—a victory for an administration that favors deregulation, but also a change that is projected…
Editor's Note The Food and Drug Administration (FDA) on January 12 announced a delay in enforcement of unique device identification (UDI) requirements for class I and unclassified devices until September 24, 2020. The FDA also will not enforce direct mark requirements for these devices until September 24, 2022. The guidance…
Editor's Note The Centers for Medicare and Medicaid Services (CMS) on January 9 announced a new voluntary bundled payment model called, “Bundled Payments for Care Improvement Advanced” (BPCI Advanced). Participants in BPCI Advanced will receive payments for performance on 32 (29 inpatient, 3 outpatient) different clinical episodes. The first cohort…
Efforts in 2017 to dismantle the Affordable Care Act (ACA) were largely unsuccessful, but a tax reform bill that includes a provision to abolish the ACA’s individual insurance mandate seems likely to pass. As a result, 13 million fewer Americans will be insured by 2027, and premiums will go up…
Healthcare providers are straddling a variety of payment models while many regulatory changes remain in flux under the Trump Administration. Although the shift from fee-for-service to value-based payment began some years ago, not everyone is on board. Opinions about bundled payments also remain mixed, despite reports of improved outcomes and…
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on November 30 announced a final rule that cancels the mandatory hip fracture and cardiac bundled-payment models, which were to begin on January 1, 2018, and implements changes to the Comprehensive Care for Joint Replacement (CJR) Model. In the final…
Editor's Note November 30 is the deadline for critical access hospitals that did not achieve meaningful use for the 2016 reporting period to submit hardship forms to avoid a 2018 payment adjustment, the November 27 AHA News Now reports. Inpatient prospective payment system hospitals that did not achieve meaningful use…