A credit analyst for not-for-profit healthcare providers is cautioning that the new state health insurance exchanges may introduce more short-term risk than benefit.
Moody's Investors Service said in a report Friday that while the exchanges may lead to a bump in the number of insured patients, the larger unknowns will be what happens with insurance contract terms; the potential migration of patients who currently have private insurance to exchange plans; and bad debt for patients.
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A Medicare test of accountable care in Wisconsin slowed cost growth last year for about 20,000 seniors. That's good news, of course, to economists and policymakers. But for hospitals, the news was not all good because most payers continue to reimburse on a fee-for-service basis rewarding more admissions and more volume of services.
An article in the Journal of the American Medical Association said that for hospitals that participate in Medicare accountable care programs, such as ThedaCare in Appleton, Wis., competing financial incentives can make their ACO efforts counterproductive.
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As healthcare providers work to adopt electronic health records and achieve Stage 2 meaningful-use standards, most Americans are confused and concerned about the transition from paper to digital, according to a survey by Xerox.
Xerox, which polled about 2,000 U.S. adults in its fourth annual EHR survey, found that only 29% of them had been told by their physicians that their medical records would be converted from paper to digital format. And although most of the respondents think EHRs will reduce healthcare costs (62%) and improve quality of healthcare service (73%), even more (83%) worry about digital issues including security. Nearly seven out of 10 do not want their medical records in a digital format.
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The humble stretcher used for transporting patients has gone high-tech and high-cost. The average price paid for stretchers jumped 20% over the past year as more hospitals purchased costlier models that have complex features, such as motorized drives or compatibility with X-ray imaging devices, according to the Modern Healthcare/ECRI Institute Technology Price Index. But one expert raised questions about whether the technological advances are worth the price.
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McDermott
Responding to criticism that Medicare is not paying for enough seniors' skilled-nursing care following serious hospitalizations, Rep. Jim McDermott (D-Wash.) has introduced a bill that would eliminate a barrier to rehab care known as the “three-day rule.”
As it stands, the three-day rule says Medicare will not pay for the time that seniors spend in a nursing home recovering from a hospital stay unless they were hospitalized as an inpatient for three days. McDermott's bill, the “Fairness for Beneficiaries Act,” would eliminate the three-day requirement and replace it with a provision that says seniors would need a physician to certify their need for skilled-nursing, regardless of time spent as an inpatient.
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The Federal Trade Commission has thrown a few wet blankets in the go-go world of healthcare corporate transactions in recent years, in the form of litigation to block mergers. But the agency's new director says most of the FTC's enforcement of antitrust laws actually happens in the less-discussed context of out-of-court settlements known as “consent orders.”
Deborah Feinstein, director of the FTC's Competition Bureau, told audiences at a legal conference in New York on Tuesday that litigation is too slow, costly, uncertain and imprecise to be used in every situation. Whenever the commission has a “workable settlement offer” that repairs the competitive harm, commissioners may decide a settlement is in the public's best interest.
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The American College of Physicians is nervous about where HHS is headed with the criteria for meaningful use of electronic health records.
The organization wrote a letter to the Office of the National Coordinator for Health Information Technology addressing “what has been released for Stage 2 and what we have been told to expect for Stage 3” in the federal EHR meaningful-use program.
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Hoven
“To paraphrase Mark Twain, the reports of the death of private practice medicine have been greatly exaggerated,” Dr. Ardis Dee Hoven, president of the American Medical Association, said in a news release touting the findings of a recent survey that indicates how the trend toward hospital employment of physicians may be overstated.
According to the AMA's new Physician Practice Benchmark Survey, 53.2% of physicians were self-employed in 2012, 41.8% were employed and 5% were independent contractors.
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Most of the people who come to the emergency room with gunshot wounds have no insurance, and if they're admitted as inpatients, hospitals will spend an average of $23,500 caring for them, according to a new study of gun trauma and healthcare costs.
But the study from the Urban Institute found that gunshot victims' uninsured status may affect their care. “Uninsured victims of firearm assaults appear to have different treatment when they arrive at the ED. Their ED visits are the most expensive, they are admitted for inpatient care less often, and their treatment, once admitted, appears to be less intensive,” the study says. “The numbers indicate that some hospitals may be making treatment decisions based on the insurance status of the patient rather than the patient's condition.”
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Two new studies have put a price tag on healthcare services considered of little benefit to patients. In both reports, researchers raised questions about the role that healthcare providers play in delivering potentially unnecessary care.
One study examined the cost of care for patients who were taken by ambulance to the most sophisticated, well-equipped trauma centers despite injuries that required far less intensive care.
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Two new studies have put a price tag on healthcare services considered of little benefit to patients. In both reports, researchers raised questions about the role that healthcare providers play in delivering potentially unnecessary care.
One study examined the cost of care for patients who were taken by ambulance to the most sophisticated, well-equipped trauma centers despite injuries that required far less intensive care.
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