Breaking News
February 25, 2018 - New staining method helps analyze 3D tissue samples using Nano-CT system
February 25, 2018 - Rare immune cell may prove to be potent weapon in fighting against cancer
February 25, 2018 - Connection between heart disease and cancer treatment
February 25, 2018 - Longer Endocrine Tx Better in Prostate Cancer
February 25, 2018 - Gene therapy restores normal blood glucose levels in mice with type 1 diabetes
February 25, 2018 - Desymmetrization paves way for new bioactive compounds
February 25, 2018 - Study finds underutilization of less expensive, post-acute care options for older adults
February 25, 2018 - UNIST researchers introduce new biosensing contact lens for diabetics
February 25, 2018 - Research consortium develops first 3D computer model of metabolic processes
February 25, 2018 - Adding hope to health messages may help promote preventative actions, researchers say
February 25, 2018 - Sudden Hearing Loss Recovery Hampered by Metabolic Syndrome
February 25, 2018 - First human trial of potentially game-changing diabetes treatment set to commence
February 25, 2018 - Child’s snacking patterns could be linked to genetics, study finds
February 25, 2018 - Patients with terminal cancer may be less competent to make big decisions
February 25, 2018 - Study highlights risks involved in short-term use of PICCs
February 25, 2018 - Study shows no increase in complications with ‘ad lib’ oral intake during labor
February 25, 2018 - Although Plaquenil (Hydroxychloroquine) Eases Rheumatoid Arthritis Pain it Won’t Help ‘Regular’ Arthritis
February 25, 2018 - Methotrexate May Help in Chronic Viral Arthritis
February 25, 2018 - Lack of guidance may delay a child’s first trip to the dentist
February 25, 2018 - Study shows cost-effectiveness of screening for fracture risk in older postmenopausal women
February 24, 2018 - Younger women with SCAD may benefit most from conservative treatment
February 24, 2018 - Blood Test for Concussion OK’d
February 24, 2018 - What are symptoms of an alcohol use disorder? – Rethinking Drinking
February 24, 2018 - Streamlined, cost-cutting post-treatment dental advice via iPad
February 24, 2018 - Researchers discover new regulator of the immune system
February 24, 2018 - Reducing red tape for traveling nurses
February 24, 2018 - Study supports benefits of meditation in control of attention and emotions
February 24, 2018 - Flu Vax Data ‘Only Tell Half the Story’
February 24, 2018 - Calculators – Rethinking Drinking – NIAAA
February 24, 2018 - From stem cells to a functional heart—the role of the Mesp1 gene
February 24, 2018 - Non-adherence to sleep apnea treatment linked to increased hospital readmissions
February 24, 2018 - Exercise-related posts influence health of social media pals
February 24, 2018 - Will Device Meetings in Europe Suffer Under New Ethics Rule?
February 24, 2018 - Nonstatin drug use increases by 124% in U.S., related expenditures triple
February 24, 2018 - Annual foot screening could help spot heart irregularities in people with diabetes
February 24, 2018 - Researchers developing rapid saliva test to detect Zika virus
February 24, 2018 - For Older Men, Even Light Exercise Helps
February 24, 2018 - Healthy Strategies to Beat Stress
February 24, 2018 - Cancer killing clue could lead to safer and more powerful immunotherapies
February 24, 2018 - Repeated sick days do not affect children’s learning ability, study shows
February 24, 2018 - New two-child policy in China could negatively affect women’s status and gender equality
February 24, 2018 - New research project to determine why mine dust-related lung diseases are on the rise
February 24, 2018 - A Tribute to Dr. Ray Lipicky: The Man Who Transformed Cardiology
February 24, 2018 - Child, Foster
February 24, 2018 - Study shows age doesn’t affect survival in patients with non-Hodgkin lymphoma after HCT
February 24, 2018 - Researchers explore how evolutionary processes guide pathways of cells
February 24, 2018 - Discovery may result in new medication to build stronger muscles in old age
February 24, 2018 - New study identifies possible target for treatment of dangerous allergic reactions
February 24, 2018 - Targeted vaccination can be successful in containing epidemic outbreaks
February 24, 2018 - Loxo Oncology Announces Publication of Larotrectinib Clinical Data in The New England Journal of Medicine
February 24, 2018 - ‘The Best Deals of Any Payer’: What We Heard This Week
February 24, 2018 - Blood and urine tests developed to indicate autism in children
February 24, 2018 - New low-cost microfluidic device brings single-cell technology to bedside
February 24, 2018 - Covestro and Pittsburgh Penguins announce multi-year unique partnership
February 24, 2018 - Children from low-income areas have poor outcomes after heart surgery, study finds
February 24, 2018 - Some genes can drive both metastasis and initial stages of tumor growth
February 24, 2018 - Visaris Americas announces installation of fully robotic Vision C digital X-ray suite at OGHS
February 24, 2018 - New discovery could accelerate clinical translation of stem cell-based therapies
February 24, 2018 - Respiratory disease patients with arthritis struggle to use complex inhalers
February 24, 2018 - FDA Alert: Labetalol Hydrochloride Injection by Hospira: Recall
February 24, 2018 - Flu, Tdap Vax Safe for Babies 6 Months Later
February 24, 2018 - Adults with autism show a diminished brain response to hearing their own name
February 24, 2018 - Study provides insight into neurobiology of dying
February 24, 2018 - Study finds tobacco smoke exposure among most adolescents in economically disadvantaged population
February 24, 2018 - U.S. clinical sites evaluating antibody-based therapies to prevent two common bacterial infections
February 24, 2018 - UCLA researchers use fluorescent colored proteins to trace origin of heart cells
February 24, 2018 - UC Riverside researchers discover way to halt cancer metastasis
February 24, 2018 - Home Routines Can Boost a Child’s Readiness for School
February 24, 2018 - FDA Investigating Misuse, Abuse of Gabapentinoids
February 24, 2018 - Scientists find key proteins control risk of osteoarthritis during aging
February 24, 2018 - Izon announce the launch of the qEV2 and qEV10 Exosome Isolation columns
February 24, 2018 - New CSIRO technology can create clean drinking water
February 24, 2018 - Treating sleep-disordered breathing may improve prognosis of heart failure patients
February 24, 2018 - More boys begin school a year late than girls, study finds
February 24, 2018 - Early life exposure to green space could have beneficial effects on cognitive function
February 24, 2018 - Joint Surgery: Aspirin Equals NOAC for Post-Acute VTE Prevention
February 23, 2018 - Scientists identify new marker of arthritis in mice
February 23, 2018 - Beetroot juice supplements may benefit patients with heart failure
February 23, 2018 - New study identifies novel molecular biomarkers of preeclampsia
February 23, 2018 - Researchers discover new link between gut bacteria and obesity
Protection-Web Hospitals Reply to New Medicare Necessities

Protection-Web Hospitals Reply to New Medicare Necessities

image_pdfDownload PDFimage_print

Protection-net hospitals have risen to a probably existential problem from a couple of Medicare’s value-based fee reforms, a learn about printed within the Magazine of the American Scientific Affiliation indicated.

“Comparative Traits in Cost Changes Between Protection-Web and Different Hospitals Because the Creation of the Medical institution Readmission Relief Program and Price-Primarily based Buying” sheds mild on how Medicare’s Medical institution Readmissions Relief Program (HRRP) and its Medical institution Price-Primarily based Buying program (HVBP) have affected safety-net hospitals, stated the learn about’s lead creator.

“The learn about confirms that safety-net hospitals have confronted disproportionate consequences in each the HRRP and VBP, but in addition suggests that they have got stepped forward at the metrics utilized in those techniques,” stated Nathan Favini, MD.

He stated the analysis supplies fodder for each supporters and fighters of HRRP and VBP, two primary projects introduced through the Facilities for Medicare & Medicaid Products and services to prod and incentivize hospitals to ship upper price for sufferers.

“This must ease issues that safety-net hospitals cannot successfully reply to consequences and incentives from CMS.”

“For proponents of the techniques,” Favini stated, “the enhancements at safety-net hospitals, specifically in pneumonia and congestive center failure readmissions, are a large good fortune. Critics may observe that the discounts in income at safety-net hospitals have been large enough to affect margins and concern in regards to the alternative value of specializing in those metrics in resource-limited settings.”

HRRP imposes a Medicare fee penalty on hospitals that record fairly top 30-readmission charges for a bevy of clinical stipulations and procedures:

  • Acute myocardial infarction,
  • Persistent obstructive pulmonary illness,
  • Coronary artery bypass graft surgical operation,
  • Optional general hip and general knee arthroplasty,
  • Center failure
  • Pneumonia

VBP tweaks the Medicare fee fee for hospitals according to a weighted set of high quality metrics: scientific strategy of care, affected person revel in, scientific results, and potency.

The JAMA learn about when compared HRRP consequences and VBP fee changes according to safety-net health facility standing from federal fiscal years 2013 to 2016. The analysis displays CMS knowledge accumulated from three,016 hospitals, with 776 of the amenities designated as safety-net hospitals.

Below HRRP and VBP, a health facility’s fee changes are mirrored as a share of general bills from Medicare.

In FY 2013, Favini and his learn about co-authors discovered safety-net hospitals have been assessed upper imply HRRP consequences than different hospitals, at -Zero.37% of general Medicare bills when compared -Zero.28% at different hospitals. On the other hand, safety-net hospitals have been in a position to near this hole to 0 through FY 2016, the researchers display.

Protection-net hospitals additionally stepped forward their VBP efficiency from FY 2013 to FY 2016, however they didn’t stay tempo with stepped forward VBP efficiency at different hospitals, the JAMA learn about discovered.

In FY 2013, safety-net hospitals have been assessed a -Zero.05% imply penalty underneath VBP in comparison to a zero.02% VBP imply bonus paid to different hospitals. In FY 2016, safety-net hospitals earned a zero.05% imply bonus in comparison to a zero.19% imply bonus gained at different hospitals.

Within the JAMA learn about, Favini and his co-authors stated the enhanced efficiency of safety-net hospitals within the HRRP program seems to be connected to raised readmissions charges for center failure and pneumonia. They ascribed the enhanced VBP numbers at safety-net hospitals to stepped forward efficiency and changes to the way in which CMS weights the VBP measures.

CMS established a distinct weighted set of VBP measures for once a year tested within the JAMA learn about:

  • 2013: Scientific strategy of care 70%, affected person revel in 30%
  • 2014: Means of care 45%, revel in 30%, scientific end result 25%
  • 2015: Means of care 20%, revel in 30%, end result 30%, potency 20%
  • 2016: Means of care 10%, revel in 25%, end result 40%, potency 25%

The once a year VBP measure changes make it tough to decide precisely how safety-net hospitals stepped forward their VBP efficiency, however Favini supplied a proof:

“We all know that safety-net hospitals have a tendency to accomplish worse on scientific strategy of care and affected person revel in measures, so the truth that those had much less weight in 2015 and 2016 and that end result and potency measures have taken on extra significance may give an explanation for why safety-net hospitals are faring higher in this system.”

This record is dropped at you through HealthLeaders Media.


Tagged with:

About author

Related Articles