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Academic Medical Centers Forming Accountable Care Organizations and Partnering With Community Providers: The Experience of the Johns Hopkins Medicine Alliance for Patients
Academic medical centers (AMCs)—which include teaching hospital(s) and additional care delivery entities—that form accountable care organizations (ACOs) must decide whether to partner with other provider entities, such as community practices. Indeed, 67% (33/49) of AMC ACOs through the Medicare Shared Savings Program through 2014 are believed to include an outside community practice. There are opportunities for both the AMC and the community partners in pursuing such relationships, including possible alignment around shared goals and adding ACO beneficiaries.
To create the Johns Hopkins Medicine Alliance for Patients ...
Source: Academic Medicine - February 25, 2016 Category: Universities & Medical Training Tags: Perspectives Source Type: research
Delay MACRA, Organized Medicine Tells CMSDelay MACRA, Organized Medicine Tells CMS
The performance period for determining Medicare bonuses or penalties in 2019 under the new payment plan should start no sooner than July 1, 2017, not on January 1, 2017, as proposed by the CMS. Medscape Medical News
Source: Medscape Business of Medicine Headlines - June 28, 2016 Category: Pharmaceuticals Tags: Family Medicine/Primary Care News Source Type: news
An analysis of national trends in common nuclear medicine procedures: 2006 through 2015.
Conclusion: With several exceptions, radiopharmaceuticals approved by Medicare B for common NM procedures has shown a significant decrease since 2006 with the exception of PET. Greatest areas of growth were in cardiac and 18F-NaF PET. Lack of growth in 18F-FDG PET over recent years likely reflects restricted reimbursement. This data reflects NM utilization for outpatients > 65 years of age. Workload for a broader range of ages and inclusive of in-patients could yield slightly different results. The reason for declining NM workload is likely multifactorial. Research Support: N/A
Source: Journal of Nuclear Medicine - May 24, 2017 Category: Nuclear Medicine Authors: Edwards, O., koppula, b., Hoffman, J., Morton, K. Tags: Outcomes/Comparative Effectiveness Research & amp; Radiation Safety Source Type: research
Graduate Medical Education Funding and Curriculum in Physical Medicine and Rehabilitation: A Survey of Physical Medicine and Rehabilitation Department Chairs
This national survey highlights graduate medical education funding sources for physical medicine and rehabilitation (PM&R) residency programs as well as perceived funding stability, alignment of the current funding and educational model, the need of further education in postacute care settings, and the practice of contemporary PM&R graduates as perceived by PM&R department/division chairs. Approximately half of the reported PM&R residency positions seem to be funded by Centers of Medicare and Medicaid Services; more than 40% of PM&R chairs believe that their residency program is undersized and nearly a quarter feel at risk...
Source: American Journal of Physical Medicine and Rehabilitation - February 27, 2018 Category: Rehabilitation Tags: Education & Administration Source Type: research
Hospital Preparedness Program and the CMS (Centers for Medicare and Medicaid Services) Emergency Preparedness Rule
National Library of Medicine [National Institutes of Health]. 03/08/2018 This 57-minute webinar from the National Library of Medicine (NLM) Disaster Information Management Research Center (DIMRC) provides an overview of Hospital Preparedness Program (HPP), a review of resources from Assistant Secretary for Preparedness and Response TRACIE (Technical Resources, Assistance Center, and Information Exchange) to support health care preparedness and response, and a discussion of the impact and opportunities that the new Centers for Medicare and Medicaid Services Emergency Preparedness Rule offers health care coalitions. It discu...
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - March 21, 2018 Category: International Medicine & Public Health Authors: The U.S. National Library of Medicine Source Type: news
Penn Medicine GI bleeding research points to need for updated Medicare policies
(University of Pennsylvania School of Medicine) Penn Medicine researchers are calling for greater precision in Medicare performance reporting for patients with GI bleeding following an evaluation of patients with the condition.
Source: EurekAlert! - Medicine and Health - June 5, 2018 Category: International Medicine & Public Health Source Type: news
Why Does Medicine Cost So Much? Here ’s How Drug Prices Are Set
From 2007 to 2016, Mylan raised the list price of its EpiPen about 500%, from just under $100 to more than $600. From 2002 to 2013, insulin prices more than tripled. From 2012 to 2019, the average price of AbbVie’s rheumatoid-arthritis drug Humira climbed from $19,000 a year to $60,000 a year—and that’s after rebates. These are dramatic examples of a systemwide problem: prices for brand-name drugs are rising at a rate that far outstrips inflation.
What’s behind these rapid price hikes? It’s a simple question with a complicated answer that involves three central entities: drug manufacturers, ph...
Source: TIME: Health - April 9, 2019 Category: Consumer Health News Authors: Laura Entis Tags: Uncategorized medicine Source Type: news
Effect of Accountable Care Organizations on Emergency Medicine Payment and Care Redesign: A Qualitative Study
ConclusionCare redesign within accountable care organizations has focused on outpatient access and alternatives to hospitalization. However, there has been little influence on emergency medicine payment, which remains fee for service. Evidence-based policy solutions are urgently needed to inform the adoption of value-based payment for acute unscheduled care.
Source: Annals of Emergency Medicine - January 21, 2020 Category: Emergency Medicine Source Type: research
Beyond the COVID-19 Pandemic: The Urgent Need to Expand Primary Care and Family Medicine.
Authors: Geyman JP
Abstract
The COVID-19 pandemic, together with its resultant economic downturn, has unmasked serious problems of access, costs, quality of care, inequities, and disparities of US health care. It has exposed a serious primary care shortage, the unreliability of employer-sponsored health insurance, systemic racism, and other dysfunctions of a system turned on its head without a primary care base. Fundamental reform is urgently needed to bring affordable health care that is accessible to all Americans. Over the last 40-plus years, our supposed system has been taken over by corporate stakeholders with...
Source: Family Medicine - January 21, 2021 Category: Primary Care Tags: Fam Med Source Type: research
CPAP adherence is associated with reduced inpatient utilization among older adult Medicare beneficiaries with pre-existing cardiovascular disease
Journal of Clinical Sleep Medicine, Ahead of Print.
Source: Journal of Clinical Sleep Medicine : JCSM - June 17, 2021 Category: Sleep Medicine Authors: Emerson M. Wickwire
M. Doyinsola Bailey
Virend K. Somers
Liesl M. Oldstone
Mukta C. Srivastava
Abree M. Johnson
Steven M. Scharf
Jennifer S. Albrecht
1Sleep Disorders Center, Division of Pulmonary and Critical Care Medicine, Department of Medicine, Univer Source Type: research
How does the Affordable Care Act affect taxpayers now?
Aaron Carroll, M.S., M.D., associate professor of pediatrics at the Indiana University School of Medicine, discusses how the Affordable Care Act will affect taxpayers in the coming months. The Affordable Care Act officially takes effect in January 2014, but several provisions are being implemented this year. These provisions specifically affect Medicare and Medicaid recipients, caregivers and all ....
Source: Sound Medicine - January 13, 2013 Category: Global & Universal Authors: Sound Medicine Source Type: news
Lean laboratories: laboratory medicine needs to learn from other industries how to deliver more for less
Laboratory medicine faces unprecedented challenges worldwide. Demand continues to grow year on year both in volume and complexity as populations age and healthcare becomes ever more sophisticated. Crude test numbers are rising at between 6% and 10% per annum1 and revenue continues to fall, at least in relative terms, irrespective of the type of funding system. In the UK, the Department of Health is looking to an absolute cut in annual pathology costs of 20%.2 In Australia, the federal government has capped growth in the pathology budget at 5% per annum for the next 5 years, closely linked with a variety of strategies ...
Source: Journal of Clinical Pathology - July 22, 2013 Category: Pathology Authors: Knowles, S., Barnes, I. Tags: Legal and forensic medicine Leading article Source Type: research
Don't Freeze Medicare Rates, Docs Tell CongressDon't Freeze Medicare Rates, Docs Tell Congress
A proposal to repeal the SGR formula would freeze Medicare FFS rates for 10 years and phase in pay-for-performance. No, no, no, says organized medicine. It's time for an FFS rate hike. Medscape Medical News
Source: Medscape Business of Medicine Headlines - November 19, 2013 Category: Pharmaceuticals Tags: Family Medicine/Primary Care News Source Type: news
Medicare Will Reveal Individual Doc Pay Starting Mid-MarchMedicare Will Reveal Individual Doc Pay Starting Mid-March
CMS said it will respond to requests for payment information on a case-by-case basis. Organized medicine favors transparency in principle, but fears the worst. Medscape Medical News
Source: Medscape Business of Medicine Headlines - January 15, 2014 Category: Pharmaceuticals Tags: Family Medicine/Primary Care News Source Type: news
Healthcare changes and Affordable Care Act update
Congress recently announced its intentions to fast track the SGR Repeal and Medicare Provider Payment Modernization Act, which will provide physicians with a stable Medicare payment system. "Sound Medicine" health care policy analyst Aaron Carroll, M.D., M.S., discusses the new legislation as well as what's new with the Affordable Care Act.....
Source: Sound Medicine - March 2, 2014 Category: Global & Universal Authors: Sound Medicine Source Type: news
