All Articles In 'Tag Archives: 'Hospitals''
Medicaid Upper Payment Limits: Understanding Federal Limits on Medicaid Fee-For-Service Reimbursement of Hospitals and Nursing Homes
Medicaid financing is extremely complex. Federal upper payment limits on hospitals, nursing facilities, and other healthcare providers are a case in point. Here is a quick primer. Origins of Upper Payment Limit: The Upper Payment Limit [...]
HHS Reports That Only 14 Percent of Patient Harm Events Experienced by Medicare Beneficiaries Are Captured
A study conducted by the HHS Office of Inspector General, Hospital Incident Reporting Systems Do Not Capture Most Patient Harm, analyzed the ways in which hospitals use incident reporting systems and incident reports to determine how [...]
Lack of Price Transparency Could Limit Hospitals’ Ability to Secure Favorable Pricing for Implantable Medical Devices
Policymakers expressed concern about the lack in price transparency for implantable medical devices (IMD), with confidentiality clauses in purchasing agreements frequently restricting the release of third-party prices. Because this lack of transparency could drive up hospital [...]
Hospital Community Benefits under the Affordable Care Act: Opportunities for Community Health Improvement
In February 2012, The Hospital Community Benefit Program, established by the Hilltop Institute at the University of Maryland, Baltimore County (UMBC), published the third issue brief in a series, Hospital Community Benefits after the ACA: Partnerships [...]
Hospitalizations for Mental Health and Substance Abuse Disorders: Costs, Length of Stay, Patient Mix, and Payor Mix
New data from AHRQ highlight inpatient hospitalizations for mental health and substance abuse disorders, including costs, length of stay, and payor mix. Overall, the AHRQ statistics show interesting differences between inpatient stays for mental health, substance [...]
Medicare Payment Reform and Quality Improvement: MedPAC Recommendations to Congress on Medical Imaging and Poor Quality Providers
The Medicare Payment Advisory Commission (MedPAC) has made 10 new recommendations to Congress regarding Medicare payment accuracy and financial incentives for medical imaging and other diagnostic testing, and quality improvement, targeting the worse performing Medicare providers [...]
Accountable Care Organizations: Your Guide to Strategy, Design, and Implementation, by Marc Bard and Mike Nugent
Are you ready to be an Accountable Care Organization (ACO)? Significant new opportunities and challenges face health systems, hospitals, and physician practices as they decide whether to participate in the new Medicare Shared Savings Program and join together to [...]
Hospital Readmissions: Data on Hospital Readmission Rates for Medicare, Medicaid, Privately Insured, and Uninsured Patients
Hospital readmission rates are receiving increasing attention by Medicare, Medicaid, and private health plans. Research shows that a high proportion of hospital readmissions are preventable. Most hospital payment methods, most notably the Medicare Part A inpatient [...]
Primary Care Physicians and Hospital Emergency Departments: Improving Communications
Hospital and emergency room utilization is expected to increase substantially when 35-40 million Americans become newly insured through Medicaid and State Health Exchanges starting in 2014. Today, communication between primary care physicians and hospital emergency departments is [...]
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