Thursday, July 30, 2015

  • Key drivers for spending growth include an improving economy, an aging population, spiraling drug costs, and coverage expansion under the Patient Protection and Affordable Care Act.

  • Just-released audits on Medicare risk adjustments by HHS and the Department of Justice in 2008 show significant problems with billing-related risk score calculations that were used for beneficiaries of plans operated by Aetna Health, Independence Blue Cross of Pennsylvania, and Care Plus, a division of Humana.

  • Under the Patient Protection and Affordable Care Act, the HHS Secretary has the authority to scale any pilots after the CMS actuary can attest that savings has occurred with no decrease in quality.
  • While governments and groups gnash teeth and craft future policy concerning EHR usability, providers are turning to overlay software to recast EHR workflow.

  • This report outlines how savvy providers are leveraging specialized resources to strengthen coordination and engagement across the care continuum. Download the free version.

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This new collection of articles and resources reveals how healthcare providers are using HCAHPS scores to engage patients and staff and protect revenue, and how you can apply our proprietary research findings on HCAHPS and patient experience to your own organization.
NEWS

by JOHN COMMINS | 07/29/2015

Key drivers for spending growth include an improving economy, an aging population, spiraling drug costs, and coverage expansion under the Patient Protection and Affordable Care Act.


by JOHN CASTELLUCCIO | 07/29/2015

Just-released audits on Medicare risk adjustments by HHS and the Department of Justice in 2008 show significant problems with billing-related risk score calculations that were used for beneficiaries of plans operated by Aetna Health, Independence Blue Cross of Pennsylvania, and Care Plus, a division of Humana.


by JOHN COMMINS | 07/28/2015

The role of the primary care physician continues to be vital in the drive toward value-based healthcare, MGMA data shows.


by JANET BOIVIN, RN | 07/28/2015

The improper use of personal protective equipment among healthcare workers is "pretty pervasive in all institutions," says a researcher.


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