Fledgling accountable care organizations have faced plenty of challenges. Now a group of economists and lawyers are calling for a close look at issues involving insurance, antitrust and other regulation to avoid “unintended consequences.”
Health policy experts Gary Bacher, Michael Chernew, Daniel Kessler and Stephen Weiner write in the latest issue of the policy journal Health Affairs that ACOs could stifle competition among insurers and providers and potentially drive up prices.
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Before there can be patient-generated data, there have to be patients willing and able to provide it and tools to capture, communicate, receive and present it. That's where Dr. Susan Woods comes in.
“My focus is really on the patient's and the caregiver's use of electronic tools and on making value for patients in using these tools,” said Woods, who is the director of patient experience for the Veterans Health Administration.
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Stark
The healthcare world is populated by scores of legal experts who strive to keep up with the sprawling compendium of statutes, regulations and legal advisories known collectively as the “Stark law.” But the law's father, Fortney “Pete” Stark, is not one of them.
Stark, in fact, says he would favor repealing the law as it currently exists and getting back to the law's initial intent.
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Four charitable foundations in healthcare and one in journalism will participate in a $2 million contest to spark innovative uses of healthcare data.
“Health is an area where journalism, open data and public information overlap, giving us a direct, tangible opportunity to help people learn more and make smart choices through the use of technology and data,” Michael Maness, vice president for journalism and media innovation at the John S. and James L. Knight Foundation, said in a news release. The charity is named for the founders of the former Knight-Ridder chain of newspapers.
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The findings of a new study published this week in BMJ Quality & Safety show the first evidence that electronic health records can play a role in reducing hospital readmissions of high-risk heart failure patients.
The study evaluated more than 1,700 adult inpatients diagnosed with heart failure, myocardial infarction and pneumonia over a two-year period at Parkland Memorial Hospital in Dallas. With the use of software developed to assess the patients on a daily basis at highest risk, researchers were able reduce the readmission rate of those studied by 26%.
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It's Christmas in July for Medicare-participating physicians—though the gift is far from being delivered. On Wednesday, the House Energy and Commerce Committee unanimously passed bipartisan legislation to repeal Medicare's sustainable growth-rate formula and replace it with a stable system of payments to the nation's physicians.
For years, Congress has waited until the end of the calendar year to stave off a steep Medicare payment cut to physicians with a temporary fix.
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The for-profit assisted-living industry came under the harsh spotlight of PBS' “Frontline” investigators Tuesday night as the news program took Seattle-based Emeritus Corp. to task for a number of deaths and injuries involving residents with dementia at Emeritus facilities across the country.
Emeritus, which was founded in 1983 and has 483 facilities around the country, is the one of the country's biggest assisted-living operators.
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Supporters of the healthcare reform law got some good news from a survey just released by the healthcare policy briefing website The Morning Consult.
Nearly half of registered voters polled in the survey—47%—said they would be less likely to vote for a member of Congress in 2014 if the member tried to defund Obamacare as part of a federal budget package, compared with 28% who said they would be more likely to vote for the member.
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The American Nurses Association wants the federal government to require insurers selling plans on state insurance exchanges to have at least a certain percentage of advanced practice registered nurses in their provider networks.
The ANA proposed the minimum level would be equal to 10% of the number of APRNs who independently bill Medicare Part B in a state.
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It's hard to get doctors to follow practice guidelines.
Despite the publication of numerous guidelines on the management of routine back pain, physicians surprisingly are not following the advice, and “guideline-discordant care” is on the rise, according to a study posted on the JAMA Internal Medicine website.
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A bipartisan House bill has been introduced that would require disclosure of Medicare payment information on individual physicians and other healthcare providers and suppliers, to enable the public to compare providers of services.
A companion bill has been pending in the Senate since June, and one Senate spokesperson says the final proposal may be added to the upcoming “doc fix” legislation to come later this year that would change how Medicare doctors are paid under the sustainable growth-rate formula.
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