Noteworthy News

Archive for health care reform

 

OIG Reveals 2016 Plans

The U.S. Department of Health and Human Services’ Office of the Inspector General (OIG) has published its work plan for the 2016 fiscal year. In 2016, the OIG will continue to examine all aspects of HHS endeavor, including Medicare, Medicaid, hospital services, public health activities, and more. In the coming year it will continue a number of hospital-focused projects while also focusing more on health care delivery, health care reform, alternative payment methodologies, and value-based purchasing initiatives. Among the OIG’s planned Medicare projects in 2016 – some of them continued from the past and some of them new, quoted directly from [&hellip

States to Have New Reform Tool

Come 2017, states will have a new tool at their disposal through which to pursue health care reform. At that time, states will be able to seek new state innovation waivers from the federal government that will enable them to change covered benefits and insurance subsidies; replace health insurance exchanges; modify the individual or employer mandate; and do other things so long as their efforts ensure continued access to comprehensive and affordable health insurance. The waivers, created under the Affordable Care Act, are good for five years. The Commonwealth Fund has published an issue brief that explains the section of [&hellip

Looking at Payment and Delivery System Reform

Last fall the Robert Wood Johnson Foundation brought together grant recipients and national experts to talk about health care payment and delivery system reform design and implementation issues. Now, the foundation has released a brief paper that addresses what the experts consider to be the three greatest challenges in the pursuit of such reform: Aligning alternative payments with clinician compensation Considering social determinants of health in payment reform models Repurposing hospital resources The paper also takes a look at whether health care payments should be subject to risk adjustment to reflect the social and economic barriers to better health and [&hellip

NAUH Publishes New Study

The National Association of Urban Hospitals today released a new study that examines thefinancial impact on urban safety-net hospitals of health care reform and other cuts in Medicare payments on urban safety-net hospitals. The study, The Disproportionate Impact of Medicare Cuts and Health Care Reform on Urban Safety-Net Hospitals, shows that these cuts – in Medicare disproportionate share payments (Medicare DSH), from productivity adjustments and documentation and coding adjustments, in bad debt reimbursement, in hospital readmissions reduction program penalties, and Medicare sequestration cuts – are taking a significant financial toll on urban safety-net hospitals.  The study documents both the disproportionate [&hellip

Readmissions and Quality: Are They Related?

A new study casts doubt on a major principle underlying a good deal of recent federal health care policy. That principle holds that hospitals that have lower rates of 30-day readmissions of Medicare patients provide better, more economical care than those with higher readmission rates. But that may not be true. According to an examination of the performance of safety-net hospitals in California published in the journal Health Affairs, those safety-net hospitals are more likely than others to be penalized by Medicare’s hospital readmissions reduction and value-based purchasing programs. At the same time, however, these same hospitals had lower 30-day, [&hellip

Search for
Noteworthy News

Related posts

    [exec] boposts_show(); [/exec]