Health systems that have adopted the Shared Savings model ACOs could have an additional three years before being financially penalized for poor performance under a new proposal by CMS, Kaiser Health News reported. The proposal “is one of dozens of changes” put forth by CMS in attempt to ease rules governing ACOs established under the […]
What a day it was for medical news. After much legal wrangling, specifically by the Wall Street Journal, the Centers for Medicare and Medicaid Services (CMS) released detailed data on payments to 825,000 US physicians in 2012. It was called a “data dump.” Wow. Was it ever. The story was front page news in US […]
How Zelis hopes to solve the healthcare financial system for payers and providers.
In 2-3 years, 50% of the reimbursement a hospital receives for most Medicare patient stays may be based on what happens outside the four walls of the hospital. Yet most hospitals have virtually no capability to care for patients after the sliding glass doors close behind the patient being wheeled to the curb. How can […]
Medicare is accelerating plans to peg a portion of doctors’ pay to the quality of their care. The changes would affect nearly 500,000 physicians working in groups. The federal health law requires large physician groups to start getting bonuses or...
The financial penalties that Medicare imposes on hospitals with high rates of patient readmissions are too harsh for hospitals serving the poor and should be changed, according to a congressional advisory agency. Since last fall, Medicare has been red...
Hospitals don't have to tell patients they are under "observation" care and Medicare will not cover the costs of that care if the patient is not admitted. Patients who are not admitted for at least three consecutive days do not qualify Medicare's nursing home coverage. Advocates have filed a lawsuit to change these rules.
Richard Fu details the company's approach to nutrition therapy and strategy for patients using GLP-1s.
After the election, a lot of people are excited that they can now get healthcare. Or maybe not quite yet, but by 2014, when ObamaCare is fully implemented. The only problem is that healthcare is not like an Obama phone. The phones are all made by a standard process in a factory, probably in China, […]
The American Hospital Association sued the agency that oversees Medicare, saying an audit program is depriving hospitals of reimbursements for care they provide.
Losing the Ryder Cup this year to the Europeans was every bit unexpected. Almost as unexpected as Edwards Lifesciences suddenly pre-announcing late Monday that it would miss its 3rd quarter revenue forecasts largely because of poor sales growth for U.S. transcatheter aortic valve replacement procedures. Third quarter U.S. TAVI sales of $55 million were off […]
As a cardiac electrophysiologist, I’m pretty far removed from public policy. But I have to admit that I was interested in the latest move by CMS to cut their Medicare payment rates to hospitals by invoking pay cuts for hospital readmissions. The Chicago Tribune‘s article is enlightening and filled with some interesting anecdotes after the […]
Sheila Bond, MD, talked about the latest trends regarding integration of AI in healthcare.
The Mayo Clinic announced Monday that it is partnering with a California startup that aims to provide unparalleled insight into a hospital’s performance data with the goal to improve healthcare quality, reduce costs and prevent reimbursement declines. Dabo Health, based in San Francisco, has built a granular information platform “that centralizes quality metrics and makes […]
The U.S. health care industry has evolved and changed rapidly over the past several decades. This evolution took place in response to a number of environmental influences including, technological advances, demographic shifts, and economic and political changes.