Tag: Health Care Reform

Medicare may overpay for postop care

Editor's Note Medicare may be overpaying surgeons for postoperative care they provide to patients, according to a new Rand Corporation analysis in the January 23 New England Journal of Medicine. The authors of the analysis suggest that federal officials should incorporate ways to more objectively measure the amount of postoperative…

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By: Judy Mathias
January 23, 2020
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Study challenges concerns about HRRP

Editor's Note This study from the division of cardiology at Dallas’ University of Texas Southwestern Medical Center and the Yale School of Medicine, New Haven, Connecticut, challenges concerns about Medicare’s Hospital Readmission Reduction Program (HRRP)--ie, that it leaves patients more vulnerable and increases postdischarge mortality rates. Analyzing inpatient and outpatient…

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By: Judy Mathias
January 16, 2020
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Spending, quality effects of Medicare’s bundled payments for lower-extremity joint replacement

Editor's Note In this study, researchers found that over a 3-year period, compared to no participation, participation in Medicare’s Bundled Payments for Care Improvement (BPCI) program was associated with a 1.6% decrease in average lower extremity joint replacement spending with no changes in quality, driven by early participants. When looking…

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By: Judy Mathias
January 7, 2020
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House passes year-end bill that repeals ACA taxes including medical device tax

Editor's Note The US House of Representatives on December 17 passed a year-end spending bill that repeals several Affordable Care Act (ACA) taxes, including the 40% tax on generous health insurance plans and the 2.3% tax on the sale of medical devices, the December 17 Reuters reports. The bill also…

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By: Judy Mathias
December 18, 2019
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Hospital-based care coordination strategies linked to CMS star ratings

Editor's Note Care coordination strategies were found to be associated with high overall hospital quality star ratings from the Centers for Medicare & Medicaid Services (CMS) in this study. A total of 710 general acute care noncritical access hospitals that received star ratings and responded to the 2015 American Hospital…

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By: Judy Mathias
November 21, 2019
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Waste in US healthcare spending, potential for savings

Editor's Note This study finds that the estimated cost of waste in the US health care system ranges from $760 billion to $935 billion and accounts for some 25% of healthcare spending. Projected potential savings from interventions to reduce waste, excluding savings from administrative complexity, range from $191 billion to…

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By: Judy Mathias
October 9, 2019
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CMS: New round of readmission penalties affects 2,583 hospitals

Editor's Note Data from the Affordable Care Act’s Hospital Readmissions Reduction Program (HRRP) shows that Medicare cut payments to 2,583 hospitals on October 1 because of the number of patients readmitted within a month, the October 1 Kaiser Health News reports. The Centers for Medicare & Medicaid Services (CMS) estimates…

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By: Judy Mathias
October 2, 2019
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HealthStream’s top 10 healthcare trends

Editor's Note 2019 continues to be a year of change in the healthcare industry as well as great innovation. HealthStream has broken down the top 10 trends and identifies solutions that can help an organization streamline initiatives and improve outcomes. Among the top trends: Amazon is becoming a major disrupter.…

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By: Judy Mathias
September 26, 2019
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Study: AI equal to humans in medical diagnosis

Editor's Note When deep learning algorithms were compared with health-care professionals in classifying diseases using medical imaging, diagnostic performance was equivalent between the two. In this meta-analysis of 14 studies, researchers found that deep learning systems correctly detected a disease state 87% of the time, compared with 86.4% for healthcare…

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By: Judy Mathias
September 25, 2019
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Amazon launches Amazon Care

Editor's Note Amazon has launched Amazon Care, a virtual primary care clinic, with an option for home visits from nurses, the September 24 CNBC.com reports. Employees will have an option to see a physician, nurse practitioner, or RN via a mobile app or website, and they can text a nurse…

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By: Judy Mathias
September 25, 2019
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