CMS, FDA advocate for UDI use in insurance billing
Editor's Note The Centers for Medicare & Medicaid Services (CMS) and Food and Drug Administration (FDA) are recommending using unique device identifiers (UDIs) in universal health insurance claims forms to improve value-based reimbursement for medical devices and postmarket surveillance, the July 14 Modern Healthcare reports. Proponents say UDIs could help…
June healthcare security breaches affect 11 million patient records
Editor's Note June was the worst month of 2016 for healthcare information security, with 29 breaches that affected more than 11 million patient records, the July 7 Healthcare IT News reports. A total of 24 healthcare providers accounted for 86% of the breaches, with three occurring at health plans and…
Hospital readmission app could save billions
Editor's Note Hospital readmission app could save billions An award-winning app developed by graduate students at Binghamton University, State University of New York, could help reduce readmission rates and save the healthcare industry billions. The Android-based mobile app called “Post Discharge Treatment and Readmission Predictor,” creates a special messaging service…
Healthcare providers struggling to transition to VBP
Editor's Note Moving to information systems and data requirements of the new value-based payment (VBP) reimbursement system is proving to be a daunting challenge for healthcare providers, the June 13 Health Data Management reports. A survey of healthcare executives from 190 hospitals shows that only 3% of respondents provide more…
ASCs reduce cost of outpatient surgery by $38 billion per year
Editor's Note An analysis of US commercial health insurance claims found ambulatory surgery centers (ASCs) reduce the cost of outpatient surgery by more than $38 billion per year compared to hospital outpatient departments, the Ambulatory Surgery Center Association said in a June 14 report. The study, which included more than…
Cost-effectiveness of free colonoscopy for high-risk uninsured
Editor's Note Performing free colonoscopies for uninsured patients at high risk for colorectal cancer can identify cancers at an earlier stage and is cost neutral for a health system, this study finds. Of 682 uninsured patients screened, 9 cancers ( 1 stage 0, 3 stage I, 2 stage II, and…
Make it your business to grow a healthy bottom line
In this challenging healthcare environment, OR leaders have a fiscal responsibility to help hospitals meet financial goals that contribute to a healthy bottom line. There is no more expensive procedure you can have in the hospital than to spend time in the OR,” says Keith Siddel, PhDc, JD, MBA, CHC.…
ACA costs rising
Editor's Note Over the next 10 years, the Affordable Care Act (ACA) will cost $1.34 trillion, which is $136 billion more than the Congressional Budget Office predicted a year ago, the San Francisco Chronicle reports. The hike in costs is mostly a result of higher-than-expected enrollment in the expanded Medicaid…
Physician practices spend $15.4 billion annually on quality reporting
Editor's Note Physician practices each year spend 785 hours per physician to track and report quality measures for Medicare and private health insurers at a cost of more than $15.4 billion a year, this study finds. Eight in 10 physicians surveyed reported spending more effort on quality measures now than…
CMS proposes Medicare Advantage changes for 2017
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on February 19 announced proposed changes to the Medicare Advantage program for CY 2017, which would increase payment rates by a net 1.35%, the February 19 Modern Healthcare reports. When factoring in the risk coding tendencies, Medicare Advantage insurers’ revenue…
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