Tag: Health Care Reform

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,…

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By: Judy Mathias
February 10, 2017
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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.…

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By: Judy Mathias
February 7, 2017
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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…

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By: Judy Mathias
January 25, 2017
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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…

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By: Judy Mathias
January 3, 2017
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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…

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By: OR Manager
December 14, 2016
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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…

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By: Judy Mathias
November 30, 2016
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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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By: Judy Mathias
November 16, 2016
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ASC quality scores added to Hospital Compare

Ambulatory surgery center (ASC) quality scores became public for the first time in 2016. ASCs and regulators including the Centers for Medicare & Medicaid Services (CMS) say they are pleased to have documentation of their track records. But what do the scores really mean, and how useful, exactly, are they…

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By: OR Manager
November 14, 2016
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CMS publishes final rule for MU reporting

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on November 1 published a final rule that will allow providers in the Electronic Health Record (EHR) incentive program who previously demonstrated meaningful use (MU) to report to any continuous 90-day reporting period in 2016 and 2017 rather than a…

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By: Judy Mathias
November 3, 2016
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GAO calls for better alignment of quality measures

Editor's Note In an October 13 report, the Government Accountability Office (GAO) called for the Department of Health and Human Services (HHS) to set priorities in its effort to better align healthcare quality measures across payers and programs, and to make them truly meaningful, according to the October 14 FierceHealthcare.…

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By: Judy Mathias
October 18, 2016
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