Editor's Note A readmission reduction program for high-risk Medicare patients lowered 30-day readmission rates, but the effect was small and did not achieve the goal set by the Centers for Medicare & Medicaid Services (CMS), this study finds. Of 10,621 patients studied, readmission rates decreased from 21.5% to 19.5% in…

Read More

Editor's Note San Diego-based Scripps Health announced March 21 that it will restructure its management and eliminate about 100 jobs, mostly from management and administration, in an effort to reduce operating expenses, Modern Healthcare reports. A memo to Scripps employees noted that although Scripps has enjoyed healthy operating margins and…

Read More

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…

Read More

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.…

Read More

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…

Read More

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…

Read More

Many new healthcare payment models have cropped up in recent years, all with an eye toward rewarding providers for quality of service. In 2013, the Centers for Medicare & Medicaid Services (CMS) started a Bundled Payment for Care Improvement (BPCI) pilot with voluntary participation from numerous US facilities. Under BPCI,…

Read More

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…

Read More

Editor's Note In this study, a new risk-stratification scale identified high-risk patients for readmission within 30 days after total hip replacement with 89.1% accuracy. Nearly 269,000 hip replacement patients from the State Inpatient Database were analyzed, and factors associated with an increased risk of readmission were used to create the…

Read More

Editor's Note The Centers for Medicare & Medicaid Services and the Centers for Disease Control and Prevention announced March 9 that about 1,900 diagnosis codes and 3,651 hospital inpatient procedure codes will be added to the ICD-10 coding system in FY 2017, AHA News Now reports. The large number of…

Read More