Tag: Reimbursement

Mortality rates similar for safety-net, other hospitals

Editor's Note In a new study funded by the Agency for Healthcare Research and Quality (AHRQ), safety-net hospitals performed equally as well as other hospitals when evaluated according to medical-surgical mortality rates. Analyzing data from 1,891 hospitals in 31 states, researchers found that despite ongoing financial disadvantages, the quality of…

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By: Judy Mathias
July 28, 2016
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CMS publishes hospital star ratings

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on July 27 published its Overall Hospital Quality Star Ratings, the July 27 Modern Healthcare reports. The ratings, which are a composite metric of one to five stars, grade the quality of nearly 4,000 hospitals and are posted to the…

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By: Judy Mathias
July 28, 2016
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MACRA poses risks for physicians, patients

Editor's Note Implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) could threaten physicians’ autonomy in making decisions for their patients, provide burdensome levels of documentation, and pressure some solo and small practices to close, according to an analysis in the July 23 Medical Economics. MACRA also could contribute…

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By: Judy Mathias
July 26, 2016
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Transparent pricing: Way of the future for surgery centers

Editor's Note The Monticello Community Surgery Center, Charlottesville, Virginia, is posting prices of outpatient procedures on its website, the July 22 CBS 19 reports. The center’s CEO Andy Poole calls it the “wave of the future of healthcare.” Though the center takes insurance and Medicare, knowing the total cost of…

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By: Judy Mathias
July 26, 2016
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CMS to bundle payments for CABG, expand orthopedic program

Editor's Note The Centers for Medicare & Medicaid Services (CMS) will select 98 hospitals in metropolitan areas to take part in a 5-year mandatory program to test a bundled-payment model for myocardial infarction and coronary artery bypass graft (CABG) procedures, the July 25 Modern Healthcare reports. CMS will also expand…

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By: aadeleke
July 26, 2016
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Survey reveals challenges in implementing eCQMs

Editor's Note A survey by the Joint Commission, American Hospital Association, and Federation of American Hospitals, finds that Medicare's new Hospital Inpatient Quality Reporting program requirements for electronic clinical quality measures (eCQMs) are achievable, but organizations will need to address education, process, and technology hurdles to meet the deadline of…

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By: Judy Mathias
July 20, 2016
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CMS releases OPPS, ASC proposed rule for 2017

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on July 14 published the 2017 Medicare Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System policy changes, quality provisions, and payment rates proposed rule.  Among the proposals:  an increase in OPPS payment rates by 1.55%--a combination…

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By: Judy Mathias
July 13, 2016
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Study: Complexity of quality measures impeding adoption

Editor's Note Nearly three-quarters of physicians and health plan executives say quality measures are too complex, making it difficult for physicians to achieve them in a survey by Quest Diagnostics and Inovalon. Other findings include: 65% of physicians don’t have all the patient information they need 64% of physicians don’t…

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By: Judy Mathias
June 16, 2016
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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…

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By: Judy Mathias
June 14, 2016
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Reminder: July 1 is deadline to apply for 'meaningful use' hardship exception

Editor's Note Eligible hospitals, critical access hospitals, and professionals who did not achieve "meaningful use" in the Medicare Electronic Health Record Incentive Program for the 2015 reporting period have until July 1 to apply for a hardship exception from the 2017 payment adjustment.   The streamlined hardship applications reduce the…

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By: Judy Mathias
June 13, 2016
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