Editor's Note The Centers for Medicare and Medicaid Services (CMS) announced June 6 that it is seeking new ideas on how to continue the progress of its Patients over Paperwork initiative. The initiative, which was launched in fall of 2017, has already cut the “red tape” that weighs down the…

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Editor's Note Stratification of hospitals in Medicare’s Hospital Readmission Reduction Program (HRRP) was associated with a significant shift in hospital penalties for excess readmissions, this study finds. Beginning in FY 2019, Medicare is stratifying hospitals into five peer groups based on the proportions of each hospital’s patient population that is…

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Editor's Note This study by Johns Hopkins researchers finds that the spread of carbapenem-resistant Enterobacteriaceae (CRE) bacteria that have high levels of resistance to most antibiotics could be reduced if only 25% of large healthcare facilities in a region used a patient registry. The researchers developed a computer simulation model…

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Editor's Note Though emergency department (ED) visits and hospital discharges by uninsured patients decreased after implementation of the Affordable Care Act, 1 in 10 ED visits and 1 in 20 hospital discharges were still made by uninsured patients from 2014 to 2016, this study finds.   There were 1.4 million…

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Editor's Note Physician burnout has reached a critically high level, fueled by regulatory, compliance, and technology demands, but health system leaders at the Massachusetts General Hospital in Boston are working to address and relieve burnout and bring the joy back to the practice of medicine with centrally and locally designed…

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Editor's Note The Centers for Medicare & Medicaid Services (CMS) recent changes to its Hospital Readmission Reduction Program resulted in a drop in readmission fines for academic, safety-net, and rural hospitals, this study finds. This analysis of 3,049 hospitals found that because of policy changes that now separate hospitals into…

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Editor's Note The US government claimed that digitization of healthcare records would improve the quality and value of healthcare; however, 10 years after legislation fast-tracked the move to electronic healthcare records (EHRs), even the architects of the effort agree that the $36 billion investment has not delivered as expected, the…

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Editor's Note The healthcare organization founded by Amazon, Berkshire Hathaway, and JP Morgan Chase announced on March 6 its new name−Haven−along with the launching of its new website www.havenhealthcare.com. The website outlines some of the areas where Haven intends to make improvements on the current healthcare system, including access of…

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Editor's Note This study found no evidence that value-based incentive programs (VBIPs), which link financial incentives or penalties to hospital performance, had any measurable association with changes in catheter-associated urinary tract infection (CAUTI) rates. Researchers at Boston University School of Medicine analyzed 592 hospitals across the country, and found that…

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Editor's Note Though Medicare Accountable Care Organizations (ACOs) have had some success in reducing spending for medical care, they have not had similar success with surgical spending, this study finds. Of 341,675 patients at 427 ACO hospitals and 1,024,090 patients at 1,531 non-ACO hospitals analyzed, average baseline payments were similar…

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