Noteworthy News

Archive for October, 2016


Hospital Bad Debt Up in Ohio

While uncompensated care is down, bad debt is up at Ohio hospitals. According to a new report from the Ohio Hospital Association, hospital bad debt rose in that state from $1.04 billion in FY 2013, when the state had not expanded its Medicaid program, to $1.23 billion in 2014, after Medicaid expansion had begun. Why? The increase was “…spurred by the growth in high deductible health plans,” the report states. At the same time, what the association calls “charity care” fell from $1.03 billion to $809 million. Increased bad debt as a result of the purchase of high-deductible health insurance [&hellip

Medicaid Expansion Improved Hospital Finances

Hospitals in states that expanded their Medicaid programs as provided for in the Affordable Care Act experienced increased Medicaid revenue, reduced uncompensated care costs, and higher profit margins compared to hospitals in states that did not expand their Medicaid programs. These findings for 2014 come from the new study “Association Between the 2014 Medicaid Expansion and US Hospital Finances” published by the Journal of the American Medical Association. Find that study here

Medicare’s Primary Care Demonstration Shows Promise

Medicare’s Comprehensive Primary Care Initiative produced encouraging results during its second year: 95 percent of the participating medical practices met their quality requirements and four out of the seven participating regions generated nearly $58 million in savings and will share those savings with Medicare. In addition, the 481 participating medical practices reduced their overall admissions and readmissions rates, scores well on patient satisfaction surveys and quality measures, and surpassed national benchmarks in a number of areas, including preventive health measures. The program will expand in 2017 with 14 new regions participating in Comprehensive Primary Care Plus, an enhanced version of [&hellip

Academies Continues Work on Socio-Economic Risk Adjustment

In the latest aspect of its research on socio-economic status for the purpose of its application to Medicare quality measurement and payment programs, the National Academies of Sciences, Engineering, and Medicine has taken a look at the data needed to define socio-economic status. In its new report Accounting for Social Risk Factors in Medicare Payment: Data, the Academies, notes that it was hired by the U.S. Department of Health and Human Services to …convene an ad hoc committee to provide a definition of socioeconomic status for the purposes of application to Medicare quality measurement and payment programs; identify the social [&hellip

A New Approach to Serving High-Cost, High-Need, High-Risk Medicaid Patients

A partnership consisting of a county government, a public hospital, a county-run Medicaid managed care plan, and a federally qualified health center, Hennepin Health is an accountable care organization that seeks to serve high-cost, high-need, high-risk Medicaid patients in the greater Minneapolis area. Hennepin Health targets such individuals – all childless adults who became eligible for Medicaid when the state expanded its Medicaid program in 2011 – with the help of algorithms, identifies those most likely to incur high medical costs. It then offers a blend of social services, preventive care, and other services to address members’ medical conditions while [&hellip

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