CMS proposed Monday a new mandatory bundled payment program for heart attacks and bypass surgeries that includes changes to the existing Comprehensive Care for Joint Replacement Model as part of its larger goal to shift Medicare from quantity to quality incentives.
Here are 10 things to know about the proposed rule.
http://www.beckershospitalreview.com/finance/21-statistics-on-high-deductible-health-plans.html
Hospital and health system executives are well aware of the affects high-deductible health plans have had on hospital finances, from patient collections to bad debt. To help quantify the impact of increasing patient financial obligations on the business of healthcare, here are 21 statistics to know about high-deductible health plans.
The Medicare Access and CHIP Reauthorization Act final rule is here. As industry experts begin to dig into the 2,400-page document released Friday, a few details are emerging that will be critical for providers who plan to practice fee-for-service medicine in 2017.
Physicians, physician assistants, nurse practitioners, clinical nurse specialists and certified registered nurse anesthetists who bill more than $30,000 a year or provide care for at least 100 patients under traditional, fee-for-service Medicare will be subject to MACRA’s Merit-Based Incentive Payment System beginning Jan. 1.
Becker’s caught up with two experts who have already started reading — Tom Lee, PhD, founder and CEO of SA Ignite, and Dan Golder, DDS, principal at Impact Advisors — to determine a few details providers should heed in preparation for MIPS next year.
Here are seven takeaways based on the initial findings of Drs. Lee and Golder.
The number of cases of a sexually transmitted disease reported in the U.S. reached an all-time high last year, the CDC is reporting.
The combined total of reported chlamydia, gonorrhea, and syphilis cases was more than 1.8 million in 2015, the agency said in its annual Sexually Transmitted Disease Surveillance Report.
Those numbers are probably an underestimate, the agency said in a release, since most STD cases are undiagnosed and untreated. But the treated cases have reached an all-time — and expensive — high: the agency said it estimates the annual cost of therapy at nearly $16 billion.
The reported incidence of all three conditions rose from 2014 — by 5.9% for chlamydia, 12.8% for gonorrhea, and a whopping 19% for primary and secondary syphilis.
As we pass the 3-year anniversary of the opening of the insurance exchanges, most news seems to focus on the private insurance people can purchase there. In recent months, many have complained about private insurers exiting the exchanges, networks being narrowed, premiums rising, and competition dwindling out of existence.
But it’s important to remember that many, if not most, of the newly insured are part of the Medicaid expansion. As of today, 19 states have still refused to participate in that program. Some cite reports and news that Medicaid offers poor quality and little choice of providers. But most seem to cite the cost of Medicaid, claiming that its growing cost will eventually bankrupt states.
Such declarations only consider one side of the equation, though. In most ways, Medicaid offers an excellent return on investment. That’s the topic of this week’s Healthcare Triage.
http://thinkrevivehealth.com/topic/trust/
During the course of calendar year 2016, what percentage of your total commercial revenues will be based on volume versus value?
During the course of calendar year 2016, what percentage of your the total claims you pay for commercially insured patients will be based on volume versus value?
