CMS publishes final MACRA rule
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on October 14 issued a final rule with comment period for implementing provisions of the new physician payment system required by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), according to the October 14 Modern Healthcare. The rule…
Half of physicians dissatisfied
Editor's Note A new survey by The Physicians Foundation finds that half of physicians have reached a tipping point and plan to retire, cut back on work hours, or seek nonclinical roles. Physicians identified regulatory/paperwork burdens and loss of autonomy as the primary sources of their dissatisfaction. Nearly 60% say…
Survey: EHRs increase costs, reduce productivity
Editor's Note A Deloitte survey of physicians found that three out of four believe electronic health records (EHRs) increase practice costs, which outweigh any efficiency savings, and seven out of 10 say EHRs reduce their productivity, the October 3 Healthcare Informatics reports. Nearly two-thirds (62%) of respondents want EHRs to…
Effect of CJR episode of care definition on hospital performance
Editor's Note Comparing the Comprehensive Care for Joint Replacement (CJR) program’s broad definition of a patient’s episode of care (ie, initial hospitalization until 90 days after discharge) with a clinically narrow definition of an episode of care, researchers found that hospital performance was consistent no matter which definition was used.…
Deadline for ASC nondiscrimination requirements is Oct 19
Editor's Note Ambulatory surgery centers (ASCs) must comply with nondiscrimination requirements in Section 1557 of the Affordable Care Act by October 19, the Ambulatory Surgery Center Association announced on September 28. The Act prohibits sex discrimination and requires language assistance for those with limited English proficiency and effective communication for…
Association between bundled payments and quality outcomes
Editor's Note In the first 21 months of the Bundled Payments for Care Improvement (BPCI) initiative for total hips and knees, Medicare payments declined more for BPCI participating hospitals than nonparticipating hospitals, without a significant change in quality outcomes, this study finds. For the analysis, 31,700 total joints at 176…
Novel model predicts readmission risk
Editor's Note A novel model by researchers from the Massachusetts General Hospital, Boston, uses natural language processing to predict readmission risk by incorporating physical function, cognitive status, and psychosocial support--three areas that may impact readmission but are poorly captured with structured data sources. The final model had 16 variables, a…
Study: Most nurses dissatisfied with EHRs
Editor's Note A study by Adventist University of Health Sciences (Orlando, Florida) found that 92% of nurses were dissatisfied with their electronic health record (EHR) technology. In addition, 85% said the EHRs had flaws, and 84% said EHRs disrupted their productivity and clinical workflow. The researchers also found an increase…
CMS to give providers more options for complying with MACRA
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on September 8 announced that it will give physicians and other clinicians more options in the first year to comply with the new Medicare Access and CHIP Reauthorization Act (MACRA) quality payment program. During 2017, providers will be able to…
CJR bundled payments may penalize hospitals that treat elderly, sickest patients
Editor's Note Hospitals that care for the oldest, sickest, and most complicated patients could suffer financially under Medicare’s Comprehensive Care for Joint Replacement (CJR) bundled payment program, this study finds. The study analyzed data from more than 23,000 Michigan patients who had hip or knee replacements at 60 hospitals in a…
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