AHA asks CMS to suspend VBP pain questions
Editor's Note The American Hospital Association (AHA) on April 29 asked the Centers for Medicare & Medicaid Services (CMS) to suspend their pain-related questions in the Value-Based Purchasing (VBP) Program until concerns are addressed that the questions may contribute to the opioid epidemic, AHA News Now reports. The AHA says…
Teaching hospitals penalized for aggressive screening
Editor's Note Nearly half of US academic medical centers are being penalized by Medicare because their aggressive screening of patients leads to identification of more infections and other complications that trigger penalties, the April 20 Kaiser Health News reports. The Centers for Medicare & Medicaid Services (CMS) maintains that the…
CMS delays release of new hospital quality ratings
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on April 20 announced that it will delay until July the release of hospital quality “star ratings” on its Hospital Compare website, the April 20 Modern Healthcare reports. The ratings were scheduled to be released April 21. The delay stems…
CMS issues hospital inpatient PPS proposed rule for FY 2017
Editor's Note The Centers for Medicare & Medicaid Services on April 18 issued its hospital inpatient prospective payment system (PPS) proposed rule for FY 2017. The proposed rule includes: an increase in rates by 0.85% from FY 2016, after accounting for inflation and other adjustments required by law adjustments to…
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…
CMS reports drop in physicians, hospitals in ‘meaningful use’
Editor's Note The number of physicians that participated in the Centers for Medicare & Medicaid Services (CMS) “meaningful use” program dropped from 228,662 in 2014 to 226,514 in 2015, and hospital participation declined from 4,177 to 4,071, Bloomberg BNA reports. The drop in participation occurred despite repeated efforts by CMS…
Patient factors strongly predict 30-day readmissions
Editor's Note The patient’s clinical condition responsible for admission, age, comorbidities, and socioeconomic factors such as race, income, and payer status were strong predictors of readmission within 30 days in this study. The analysis included some 15 million patients at 611 hospitals from Premier healthcare alliance over a 2-year period.…
Effect of bundled payments for colectomy on hospital finances
Editor's Note In this analysis of Medicare patients undergoing colectomy at Johns Hopkins, Baltimore, payments under the Bundled Payments for Care Improvement Initiative were lower than traditional fee-for-service payments, and the proportion of patients contributing to a net negative margin increased. Of 821 patients analyzed, 33.7% contributed to an overall…
CMS given more time for final notice on ‘two-midnight’ payment cut
Editor's Note The US District Court for the District of Columbia has given the Centers for Medicare & Medicaid Services’ (CMS) another month to issue a final notice justifying cutting inpatient payments by 0.2% in conjunction with its “two-midnight” rule, The March 18 AHA News Now reports. CMS has until…
Two hospitals face value-based payment - which one does your OR resemble?
H ealthcare trends come and go, but one that shows no signs of stopping is value-based payment. Just this year, the Centers for Medicare & Medicaid Services launched the Comprehensive Care for Joint Replace-ment (CCJR) model, which mandates bundled payment for two of the most common surgical procedures in the…
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