U.S. Health Care from a Global Perspective

http://www.commonwealthfund.org/publications/issue-briefs/2015/oct/us-health-care-from-a-global-perspective

Cross-national comparisons allow us to track the performance of the U.S. health care system, highlight areas of strength and weakness, and identify factors that may impede or accelerate improvement. This analysis is the latest in a series of Commonwealth Fund cross-national comparisons that use health data from the Organization for Economic Cooperation and Development (OECD), as well as from other sources, to assess U.S. health care system spending, supply, utilization, and prices relative to other countries, as well as a limited set of health outcomes.1,2 Thirteen high-income countries are included: Australia, Canada, Denmark, France, Germany, Japan, Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States. On measures where data are widely available, the value for the median OECD country is also shown. Almost all data are for years prior to the major insurance provisions of the Affordable Care Act; most are for 2013.

Health care spending in the U.S. far exceeds that of other high-income countries, though spending growth has slowed in the U.S. and in most other countries in recent years.3 Even though the U.S. is the only country without a publicly financed universal health system, it still spends more public dollars on health care than all but two of the other countries. Americans have relatively few hospital admissions and physician visits, but are greater users of expensive technologies like magnetic resonance imaging (MRI) machines. Available cross-national pricing data suggest that prices for health care are notably higher in the U.S., potentially explaining a large part of the higher health spending. In contrast, the U.S. devotes a relatively small share of its economy to social services, such as housing assistance, employment programs, disability benefits, and food security.4 Finally, despite its heavy investment in health care, the U.S. sees poorer results on several key health outcome measures such as life expectancy and the prevalence of chronic conditions. Mortality rates from cancer are low and have fallen more quickly in the U.S. than in other countries, but the reverse is true for mortality from ischemic heart disease.

Americans’ Experiences with ACA Marketplace Coverage: Affordability and Provider Network Satisfaction

http://www.commonwealthfund.org/publications/issue-briefs/2016/jul/affordability-and-network-satisfaction

For people with low and moderate incomes, the Affordable Care Act’s tax credits have made premium costs roughly comparable to those paid by people with job-based health insurance. For those with higher incomes, the tax credits phase out, meaning that adults in marketplace plans on average have higher premium costs than those in employer plans. The law’s cost-sharing reductions are reducing deductibles. Lower-income adults in marketplace plans were less likely than higher-income adults to report having deductibles of $1,000 or more. Majorities of new marketplace enrollees and those who have changed plans since they initially obtained marketplace coverage are satisfied with the doctors participating in their plans. Overall, the majority of marketplace enrollees expressed confidence in their ability to afford care if they were to become seriously ill. This issue brief explores these and other findings from the Commonwealth Fund Affordable Care Act Tracking Survey, February–April 2016.

NCQA will ask health plans to report infections acquired at network hospitals

http://www.modernhealthcare.com/article/20160706/NEWS/160709990/ncqa-will-ask-health-plans-to-report-infections-acquired-at-network

C Difficile Bacteria

  • On Tuesday, the National Committee for Quality Assurance (NCQA) added four new quality measures to the Healthcare Effectiveness Data and Information Set (HEDIS), which currently consists of more than 80 measures.
  • The four new measures are rates of :
    • Standardized healthcare-associated infection ratio,
    • Follow-up after emergency department visit for mental illness,
    • Follow-up after emergency department visit for alcohol and other drug dependence,
    • Depression remission or response for adolescents and adults.
  • The first measure — standardized infection ratios — will measure ratios for central line-associated bloodstream infections, catheter-associated urinary tract infections, MRSA infections, and Clostridium difficile intestinal infections. According to Gail Wilensky, a senior fellow at Project HOPE, “These infection rates ‘shouldn’t occur with appropriate, high-quality care.’”

Medicaid plans can now pay mental health institutions. Most won’t until 2017

http://www.modernhealthcare.com/article/20160705/NEWS/160639991

A policy that lifts a 50-year ban on Medicaid pay for mental health institutions kicked in Tuesday, but it may be months before many enrollees can take advantage of the new coverage

Since the creation of Medicaid in 1965, the program has excluded payment for institutions of mental disease (IMDs) for beneficiaries 21 and over. Most residential treatment facilities for mental health and substance-use disorders with more than 16 beds did not qualify for Medicaid reimbursement.

Feds drop challenge to West Virginia hospital takeover

http://www.newsobserver.com/news/article88050667.html

Size Matters

“This case presents another example of healthcare providers attempting to use state legislation to shield potentially anticompetitive combinations from antitrust enforcement,” the FTC said in a statement Wednesday. “Our decision to dismiss this complaint without prejudice does not necessarily mean that we will do the same in other cases in which a cooperative agreement is sought or approved.”

St. Mary’s has 393 beds and Cabell Huntington has 303 beds. They are 3 miles apart and are the top two private employers in Cabell County, with nearly 5,000 total employees. The combined operation would represent the second-largest hospital chain in the state behind Charleston Area Medical Center.

Cartoon – Nurse Recruitment

NHS recruitment.

Legal would like us to remove any references to “compassion” from any recruitment documentation and replace it with “qualifications in client facing communication and empathy management skills”.

Shuttered California hospital draws $1M bid

http://www.beckershospitalreview.com/finance/shuttered-california-hospital-draws-1m-bid.html

OR Efficiencies

Colusa (Calif.) Regional Medical Center has been closed since April, but the hospital has received a takeover offer that may allow it to reopen.