Policy Updates

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.”

iqtsupport2017-01-17T06:00:47-05:00January 17, 2017|Accountable Care Organization, ACO, hospitals, Medicare|

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. Learn more about how schools are using telehealth services to [...]

iqtsupport2017-01-13T06:00:06-05:00January 13, 2017|Medicaid|

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 Medicare spending on joint replacement rose five percent. Learn more [...]

iqtsupport2017-01-12T16:35:59-05:00January 12, 2017|Centers for Medicare & Medicaid Services, Medicare, Medicare regulations|

CMS Beefs Up Home Health Regs

New home health regulations will “…improve the quality of health care services for Medicare and Medicaid patients and strengthen patients’ rights,” according to the Centers for Medicare & Medicaid Services, which published the new regulations. The new regulations call for a comprehensive statement of patient rights, better communication between patients and providers, data-driven assessment of the quality of care providers deliver, a stronger focus on infection control, better coordination of services with other providers, and new qualifications for home care personnel. Learn more about the new regulation in this CMS news release and in the regulation itself.

iqtsupport2017-01-11T13:00:42-05:00January 11, 2017|Centers for Medicare & Medicaid Services|

CMS Considers Expanding PACE

The federal government is considering expanding its Program of All-Inclusive Care for the Elderly to younger participants with disabilities. It also is considering expanded access to the program to as-yet unspecified “other populations.” The Centers for Medicare & Medicaid Services is seeking public input on these possibilities. To learn more, see this CMS news release, which outlines the agency’s interests and offers a link to its formal Request for Information seeking input on prospective PACE expansion. Comments are due February 10.

iqtsupport2017-01-11T06:00:18-05:00January 11, 2017|Centers for Medicare & Medicaid Services|

New Regs Seek to Improve Nursing Home Experience for Residents

New Medicare regulations should improve the quality of life of nursing home residents. The regulations, to be introduced in three phases, give residents more meal options, their choice of roommates, and improved procedures for addressing grievances. They also give residents the right to challenge discharges, expanded protection from abuse, and the promise of better, more qualified staff members to serve them. Learn more about the new regulations and how they seek to improve the quality of life for nursing home residents in this Kaiser Health News report.

iqtsupport2017-01-10T09:12:38-05:00January 10, 2017|Uncategorized|

Weighing the Impact of ACA Repeal

How might repeal of the Affordable Care Act affect the financial health of different kinds of hospitals? The New York Times recently took a look at how the 2010 reform law’s repeal would affect two Pennsylvania health systems: the Temple University Health System, led by a heavily Medicaid-dependent safety-net hospital located in one of the poorest communities in the country; and Main Line Health, a non-profit organization with several hospitals all located in affluent communities. See what the Times found here.

iqtsupport2017-01-09T06:00:13-05:00January 9, 2017|Affordable Care Act, hospitals, Medicaid|

Medicare Program Reduced Readmissions

Medicare’s hospital readmissions reduction program has resulted in a reduction of avoidable hospital readmissions. Or so concludes a new study published in the Annals of Internal Medicine. According to the study, which included an analysis of 15 million patient discharges beween 2000 and 2013, readmissions declined after Medicare introduced the program and the hospitals with the poorest performance prior to the program’s launch experienced the greatest improvement in reducing avoidable readmissions. To learn more, read the study “Readmission Rates After Passage of the Hospital Readmissions Reduction Program: A Pre–Post Analysis” here, on the web site of the Annals of Internal [...]

iqtsupport2017-01-06T06:00:49-05:00January 6, 2017|Medicare|

Medicaid Directors Set 2017 Legislative Priorities

The National Association of Medicaid Directors has published its legislative priorities for 2017. Those 13 priorities, and the manner in which the group hopes to achieve them, are: Implement requirements for advance review of federal regulations and guidance by state Medicaid staff. Require in federal statute a distinct role for state Medicaid leaders to review the conceptual soundness and operational feasibility of federal regulations and guidance prior to finalization, which directly or indirectly impact the Medicaid program. Advance value-based reimbursement methodologies for all types of Medicaid providers. Update the tools states may use to allow for aligned value-based purchasing approaches [...]

iqtsupport2017-01-05T16:20:54-05:00January 5, 2017|Medicaid|

Medicaid Directors Set Goals for First 100 Days

The National Association of Medicaid Directors has published a paper detailing its objectives for its interaction with the Trump administration during that administration’s first 100 days in office. We call upon the new Administration to convene with NAMD’s Board of Medicaid Directors to solidify specific areas for ongoing collaboration to be carried out and reflected throughout our respective agencies. The Administration should make two updates to the process for developing federal Medicaid regulations and guidance. First, build in a step for engaging states during the pre-conceptual phase of work. Second, establish a distinct process whereby state Medicaid leaders can review [...]

iqtsupport2017-01-04T06:00:43-05:00January 4, 2017|Medicaid, Medicaid managed care|