Tag: Reimbursement

CMS issues guidance on MIPS information blocking component

Editor's Note The Centers for Medicare & Medicaid Services (CMS) has issued new guidance designed to offer clarity on the Merit-based Incentive Payment System’s (MIPS) data blocking component, the October 30 Healthcare Informatics reports. The guidance outlines how MIPS-eligible clinicians can show they are fulfilling the information blocking requirement, which…

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By: Judy Mathias
November 1, 2017
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PSH model reduces deaths, ED visits in elderly hip fracture patients

Editor's Note Elderly hip fracture patients were less likely to die or return to the emergency department (ED) after discharge if they received care under the Perioperative Surgical Home (PSH) model of care, finds this study presented October 21 at the Anesthesiology 2017 annual meeting in Boston. PSH patients also…

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By: Judy Mathias
October 30, 2017
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AHA study: Regulatory overload is unsustainable

  Editor's Note A study from the American Hospital Association (AHA) finds that the regulatory burden faced by healthcare providers is substantial and unsustainable, the October 25 AHA News Now reports. Hospitals, health systems, and post-acute care providers spend nearly $39 billion annually on administrative activities to comply with federal…

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By: Judy Mathias
October 26, 2017
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Effect of hospital-wide measure of readmissions for HRRP

Editor's Note Changing to a hospital-wide measure of readmissions for the Hospital Readmissions Reduction Program (HRRP) would result in only 76 more hospitals being eligible to receive penalties, but it would substantially increase the penalties for safety-net hospitals, this study finds. For the analysis, researchers used Medicare claims from 2011…

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By: Judy Mathias
October 19, 2017
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Survey finds nearly three-quarters of physicians prefer fee-for-service models

Editor's Note A survey of 980 physicians in eight specialties by New York City-based Bain and Company found that 73% prefer fee-for-service rather than value-based care models because of concerns about the complexity and quality of care associated with value-based models, the October 12 Healthcare Informatics reports. More than 60%…

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By: Judy Mathias
October 19, 2017
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CMS moving MU attestation to QualityNet Secure Portal

Editor's Note The Centers for Medicare & Medicaid Services (CMS) is moving submission of 2017 meaningful use (MU) data from the Electronic Health Record (EHR) Incentive Program Registration and Attestation System to the QualityNet Secure Portal (QNet), effective January 2, 2018, the October 4 EHR Intelligence reports. QNet is currently…

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By: Judy Mathias
October 9, 2017
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Factors linked to readmission after total hip

Editor's Note All-cause readmission is the only metric in widespread use, but it overlooks important information that enables readmission risk to be understood, this study finds. Of 514,455 patients in the UK analyzed over a 10-year period, there were 30,489 all-cause readmissions, 16,499 readmissions related to the surgical site, and…

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By: Judy Mathias
October 5, 2017
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Editorial

Since July, when repeal and replacement of the Affordable Care Act (ACA) stalled, healthcare reform has been somewhat overshadowed by events such as natural disasters and concerns about national security. Now, with insurers due to announce rates for the coming year, Congress is working on a bill to stabilize the…

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By: Elizabeth Wood
September 20, 2017
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CMS granting exemptions for providers affected by Hurricane Irma

Editor's Note The Centers for Medicare & Medicaid Services (CMS) is granting exemptions under Medicare quality reporting and value-based purchasing programs for certified providers (eg, acute care hospitals, long-term care hospitals, ambulatory surgical centers) affected by storms and flooding from Hurricane Irma. Providers will be granted exemptions without having to…

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By: Judy Mathias
September 19, 2017
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Bill to reduce EHR burden clears subcommittee

Editor's Note The House Energy & Commerce Health Subcommittee on September 13 approved legislation that would remove a requirement to make meaningful use standards for electronic health records (EHRs) more stringent over time, the September 13 AHA News Now reports. In a letter of support for the bill, which is…

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By: Judy Mathias
September 18, 2017
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