Bulletin Board
Bulletin Board
MedPAC Meets
Last week the independent agency that advises Congress on Medicare payment issues met for two days in Washington, D.C. Among the issues on the agenda of the Medicare Payment Advisory Commission were: payments for hospital inpatient and outpatient services, ambulatory surgery centers, dialysis facilities, and hospice care payments for post-acute-care providers a unified payment system for post-acute-care services Medicare Advantage Medicare Part B and Part D payments Medicare-covered primary care services implementation of the Medicare Access and CHIP Reauthorization Act of 2015 Go here for links to the issue briefs [...]
ACOs Serving Low-Income and Minority Patients Underperform
Accountable care organizations that serve large numbers of minority patients score lower on Medicare quality measures than other ACOs, a new study has found. According to the study, ACOs serving larger numbers of minority patients perform worse than other ACOs on 25 of 44 Medicare performance measures – and that performance does not improve over time. The study also pointed out that the minority patients served by ACOs are generally poorer and sicker than other ACO participants. Learn more about these and other findings in the report “ACOs Serving High [...]
Urban Hospitals in ACOS Better at Reducing Some Readmissions Rates
A new study has found that hospitals located in metropolitan areas that participate in accountable care organizations are doing a better job than other hospitals of reducing 30-day readmissions rates for Medicare patients who originally were discharged into skilled nursing facilities. It appears this improved performance can be attributed to two things: better discharge planning and better coordination with the skilled nursing facilities. To learn more go here to see the study “ACO-Affiliated Hospitals Reduced Rehospitalizations from Skilled Nursing Facilities Faster Than Other Hospitals.”
Public Schools Using Telehealth
Spurred by 18 states that authorize Medicaid payments for telehealth services and another 28 that require private insurers to make such payments, more public school districts are integrating telehealth services into their school health programs. The schools are using telehealth to diagnose minor ailments, monitor chronic conditions, and authorize emergency administration of medicine in the absence of written parental permission. The use of telehealth in some school districts has reduced student trips to hospital emergency rooms and increased the rate at which children with medical problems return to the classroom. [...]
Bundled Payments Reduce Hip, Knee Replacement Costs
Medicare’s bundled payment program for knee and hip replacements is reducing the cost of such treatments, a study has found. According to a new study in JAMA Internal Medicine, the Medicare bundled payment program, known as the Comprehensive Care for Joint Replacement program, has driven down the cost of the those joint replacements more than 20 percent or $5500 a case. Most of the savings have been derived through a significant decrease in the use of post-acute care, according to the study. This decrease occurred, moreover, at a time when [...]