Tag: Reimbursement

Preventability of early vs late readmissions

Editor's Note Early readmissions (within 7 days of discharge) were more likely to be preventable and amenable to hospital-based interventions, and late readmissions (8 to 30 days after discharge) were less likely to be preventable and more amenable to ambulatory and home-based interventions, this study finds. In this study of…

Read More

By: Judy Mathias
May 9, 2018
Share

Study finds fewer postop adverse events in ASCs vs HOPDs

Editor's Note Patients having outpatient surgery in ambulatory surgery centers (ASCs) versus hospital outpatient departments (HOPDs) are less likely to be admitted to a hospital or visit an emergency department a short time after surgery, this study finds. The study is the first to provide causal evidence on ASC quality,…

Read More

By: Judy Mathias
May 8, 2018
Share

CMS issues FY 2019 hospital IPPS proposed rule

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on April 24 issued its hospital inpatient prospective payment system (IPPS) proposed rule for FY 2019. The proposed rule increases rates by 1.75%, which reflects the projected market-basket update of 2.8% for hospitals that were meaningful users of electronic health…

Read More

By: Judy Mathias
April 25, 2018
Share

CMS accepting meaningful use hardship applications

Editor's Note The Centers for Medicare & Medicaid Services (CMS) has announced that eligible hospitals may submit hardship exception applications until July 1 to avoid 2019 meaningful use payment adjustments under the Electronic Health Record (EHR) Incentive Programs, and critical access hospitals may submit applications until November 30 to avoid…

Read More

By: Judy Mathias
April 24, 2018
Share

Deadline for ASCQR program web-based measures fast approaching

Editor's Note The submission deadline for all Ambulatory Surgery Center Quality Reporting (ASCQR) program web-based measures is May 15, 2018, the Ambulatory Surgery Center Association reported on April 24. ASC-8: Influenza Vaccination Coverage among Healthcare Personnel is reported through the Centers for Disease Control and Prevention’s National Healthcare Safety Network.…

Read More

By: Judy Mathias
April 24, 2018
Share

Important ASC Medicare quality reporting deadlines approaching

Editor's Note All eligible Medicare-certified ambulatory surgery centers (ASCs) that want to avoid future penalties must complete a new electronic form by April 14 via the Centers for Disease Control and Prevention’s National Healthcare Safety Network website in order to report on ASC-8: Influenza Vaccination Coverage among Healthcare Personnel, the Ambulatory…

Read More

By: Judy Mathias
April 10, 2018
Share

EHRs hinder ability to report quality measures

Editor's Note The poor design of electronic health records (EHRs) poses challenges for primary care practices to generate the required reports for federal value-based payment programs, this study finds. An analysis of survey responses from 1,492 practices in 12 states, found that the reports generated for meaningful-use participation, which requires…

Read More

By: Judy Mathias
April 6, 2018
Share

Medicare program linked to reduced readmission disparities between black, white patients

Editor's Note Black and white disparities in hospital readmission rates narrowed after the introduction of Medicare’s Hospital Readmission Reduction Program that penalizes higher than expected readmissions; however, black and white gaps still persist and minority serving hospitals continued to be penalized more by the program, this study finds. During the…

Read More

By: Judy Mathias
April 4, 2018
Share

BCBS pilots hip, knee bundled model

Editor's Note Blue Cross Blue Shield (BCBS) of Michigan is piloting a bundled payment program for hip and knee replacements, the March 27 HealthcareDive reports. The pilot, which includes 64 surgeons at seven healthcare systems, will use a mix of inpatient and outpatient settings in an effort to reduce the…

Read More

By: Judy Mathias
April 4, 2018
Share

AHRQ: Increased revenues, not cost reductions linked to improved profits

Editor's Note Increased revenues had a greater impact than decreased costs in hospitals that became more profitable between 2003 and 2013, finds this Agency for Healthcare Research and Quality (AHRQ) study published February 14 online ahead of print in the Journal of General Internal Medicine. In this analysis of 2,824…

Read More

By: Judy Mathias
April 3, 2018
Share

Join our community

Learn More
Video Spotlight
Live chat by BoldChat