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Eat! You’ll Feel Better

And maybe need to spend less on health care. That is the lesson learned from a program in Massachusetts that provided home delivery of food to dually eligible Medicare/Medicaid recipients who were struggling with their meals. In a limited experiment, selected individuals received home delivery of food: some received general meal deliveries while others received food tailored to their individual medical conditions. The purpose: address a major social determinant of health in this difficult-to-serve population. The result, according to a report published in the journal Health Affairs, was that Participants in the medically tailored meal program also had fewer inpatient [...]

iqtsupport2018-04-04T06:00:52-04:00April 4, 2018|Uncategorized|

Tackling Social Determinants of Health

The growing awareness of the impact of social determinants of health comes at a time when health care providers are assuming unprecedented degrees of risk for the health of their patients, leaving many providers wondering how best to invest resources that will meet both their own needs as well as the needs of their high-cost, high-need patients. A new document from the Commonwealth Fund, “Investing in social services as a core strategy for healthcare organizations: Developing the business case,” seeks to serve as a manual for providers seeking to move into this relatively new territory. The report takes providers through [...]

iqtsupport2018-03-28T13:48:33-04:00March 28, 2018|Uncategorized|

Primary Care Spending Declines Amid Health Care Cost Rise

At a time when health care costs continue to rise, spending for primary care is declining. This is the conclusion of an analysis of Health Care Cost Institute Data published on the Health Affairs Blog. According to the analysis, spending on primary health care declined six percent between 2012 and 2016 – more than twice the rate of the decline in spending for any other type of care. These results concern analysts because research shows that investment in primary care services generally improves population health at less cost. The decline is in utilization, not price, and while the reasons for [...]

iqtsupport2018-03-16T06:00:11-04:00March 16, 2018|Uncategorized|

Community Health Center Patients Often Have Housing Problems

Nearly half of the patients served by community health centers have housing problems, according to a new report published by the Journal of the American Medical Association. Among those problems: two or more homes in the past year alone, difficulty paying their rent or mortgage, and homelessness. Some have homes that are not their own. Practitioners need to understand this and help patients address their housing challenges, the study suggests, because housing concerns often prevent such patients from complying with medical instructions. Learn more about how housing challenges affect health and health care in the JAMA report “Prevalence of Housing [...]

iqtsupport2018-02-26T06:00:43-05:00February 26, 2018|Uncategorized|

Senators Push IRS on Non-Profit Compliance

Two prominent senators have written to the Internal Revenue Service seeking information about what the agency is doing to ensure that non-profit hospitals comply with the requirements for providing sufficient community benefits to justify their tax-exempt status. Senators Orrin Hatch (R-UT), chairman of the Senate Finance Committee, and Chuck Grassley (R-IA), a senior member of that committee, have asked the IRS to provide their committee with specific information about how the IRS evaluates non-profit hospitals’ Form 990 Schedule H; about guidance the IRS provides regarding how hospitals define their communities and their communities’ needs; about the performance and outcome of [...]

iqtsupport2018-02-16T09:38:58-05:00February 16, 2018|Uncategorized|

Physician-Owned Hospitals Returning?

In testimony before the House Ways and Means Committee, new Health and Human Services Secretary Alex Azar indicated that he may be receptive to easing restrictions on physician-owned hospitals. The Affordable Care Act made it difficult for doctors either to launch new hospitals of their own or to expand physician-owned hospitals already in operation, and many existing physician-owned facilities stopped serving Medicare patients. In response to a question from a committee member, Azar expressed his interest in working to enable physician-owned hospitals to operate. Learn more from this Fierce Healthcare article.

iqtsupport2018-02-15T09:56:12-05:00February 15, 2018|Uncategorized|

The Telehealth Trend

Patients, insurers (including government), and providers are all looking toward telehealth as a means of enhancing access to care and improving the health of people. In recognition of this trend, the web site Healthcare Finance News has published a series of articles looking at telehealth: Growing demand for telemedicine fueling multibillion dollar market growth Telemedicine can lower costs for health systems by $24 a patient, study finds CMS to waive restrictions to reimburse for telemedicine in the joint replacement payment model Almost all large employers plan to offer telehealth in 2018, but will employees use it? Why telehealth is fueling [...]

iqtsupport2018-01-08T06:00:05-05:00January 8, 2018|Uncategorized|

Fitch: Stable Outlook for Health Care in 2018

Despite a number of potential threats, Fitch Ratings predicts a stable financial environment for the health care industry in 2018. Fitch’s warns, though, of “outside disruptions” that could threaten that stability. Among those potential disruptions are tax reform legislation, government regulations, Amazon’s rumored entry into the industry, and advances in technology. The company predicts that ratings downgrades will exceed upgrades in the coming year. Learn more about Fitch’s predictions in this Healthcare Dive article.

iqtsupport2017-12-07T06:00:07-05:00December 7, 2017|Uncategorized|

Alternative Payment Model Spending Grows

In 2016, 29 percent of all health care payments were made through alternative payment models, continuing the movement toward paying for value rather than for volume. That 29 percent in 2016 was up from 23 percent in 2015. APMs include shared savings and shared risk programs, bundled payments, and population-based payments. Fee-for-service and other “legacy” payments accounted for 43 percent of health care payments in 2016 and pay for performance or care coordination fees accounted for another 28 percent of payments. These numbers come from a report from the Health Care Payment Learning and Action Network. Learn more about the [...]

iqtsupport2017-11-03T06:00:35-04:00November 3, 2017|Uncategorized|

AMA: Health Insurance Concentration in Urban Areas Threatens Competition

Too much market share by insurers in urban areas can inhibit competition, and according to the American Medical Association, there is too little competition among insurers in too many urban markets today. According to a new AMA study, 69 percent of 389 metropolitan statistical area-level markets are “highly concentrated” in 89 percent of MSAs, at least one insurer issues at least 30 percent of commercial health insurance policies in 43 percent of urban MSAs, a single insurer owns at least 50 percent of the market In a statement accompanying release of the report, an AMA spokesperson explained that After years [...]

iqtsupport2017-10-30T06:00:28-04:00October 30, 2017|Uncategorized|