Bill to repeal, replace Affordable Care Act released
Editor's Note The 123-page bill, called the “American Health Care Act,” was released March 6, Modern Healthcare reports. The bill replaces the Affordable Care Act’s (ACA’s) income-based premium tax credits with age-based tax credits. It also enhances federal funding for states to expand Medicaid to low-income adults, and it converts…
Executive order pushes back implementation of bundled payment models
Editor's Note An executive order by President Donald Trump that freezes new regulations has pushed back implementation of new and expanded Centers for Medicare & Medicaid Services (CMS) bundled payment models by 60 days, the February 20 Home Health Care News reports. Mixed feelings continue in the healthcare industry as…
Editorial
Even before Trump took office, Congress was planning to prepare ACA repeal legislation by January 27. It looked as though action could be swift once key members of the new administration took office. However, The Washington Post’s report of a January 26 meeting of Republican lawmakers indicated they were far…
Medical technology jobs drop amid device tax implementation
Editor's Note The Advanced medical Technology Association (AdvaMed) in a February 8 press release linked medical technology job losses to the Affordable Care Act’s medical device tax. The US medical technology industry lost nearly 29,000 (7.2%) jobs from 2012 to 2015 while the 2.3% medical device tax was in effect,…
Effect of bundled payments on total joint costs
Editor's Note In this study, Medicare’s Comprehensive Care for Joint Replacement bundled payment model resulted in a decrease of $5,577 in total spending per episode. Most hospital savings came from implants and supplies, and most postacute care savings came from decreased use of inpatient rehabilitation and skilled nursing facility care.…
Use of high-, low-quality hospitals by uninsured
Editor's Note Despite the Affordable Care Act, which was designed to improve access to care for patients without insurance, patients without insurance have lower use of high-quality hospitals, this study finds. The probability of admission to high-quality hospitals was similar for patients with Medicaid (23.3%) and private insurance (23.0%), but…
New administration likely to intervene in bundled-payment initiatives
Editor's Note The Centers for Medicare & Medicaid Services (CMS) issued a final rule December 20, 2016, on its cardiac and orthopedic bundled-payment initiatives, but President-elect Donald Trump’s nominee for Health and Human Services secretary, Rep Tom Price (R-Ga) is likely to stop the cardiac mandatory initiative scheduled to start…
Editorial
Healthcare consumers and providers alike are watching to see what changes will occur under the administration of President-elect Donald Trump. Thus far, at least a partial repeal of the Affordable Care Act (ACA) seems likely. That’s in part because US Rep Tom Price (R-GA) is Trump’s pick for Health and…
Henry Ford drops out of total joint bundled-payment program
Editor's Note Henry Ford Health System (Detroit, Michigan) is one of dozens of organizations that have dropped out of Medicare’s bundled payment model program in the past 3 years, the November 29 Modern Healthcare reports. In 2013, three of Henry Ford Health System hospitals participated in the first phase of…
Impact of disability and social determinants on readmissions
Editor's Note Disability and social determinants of health influence readmission risk differently when added to the Medicare risk adjustment models for the three conditions Medicare focuses on for hospital payment, finds this study. Pneumonia patients who already had difficulties with activities of daily living (ADL) before admission were more likely…
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