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Care Delivery

 

Providers and payors want to work together on transitioning to value-based care. What gets in the way is poor communication and time wasted on redundant administrative tasks, according to a Availity survey released at the Healthcare Financial Management Association (HFMA) conference in Orlando.

The University of Utah’s Huntsman Cancer Institute (HCI) has opened a 225,00-square-foot expansion which it said doubles its laboratory space for cancer research.

States that expanded Medicaid eligibility saw emergency department (ED) use per 1,000 people increase by 2.5 visits in 2014, with the share of ED visits covered by Medicaid increasing by 8.8 percentage points compared to states that didn’t expand the program under the Affordable Care Act.

Value-based care models have led accountable care organizations to change how they utilize their workforce through interdisciplinary teams and managing care by focusing on the highest-risk, and highest-cost, patients.

Health systems have appeared eager to partner with medical schools on preparing medical school students for the value-based care world in which they’ll be practicing, though some educators are worried about being lost in that transition.

 

Recent Headlines

Anthem allowed to move forward with PPO to EPO switch in California

A California judge denied a request for a restraining order which would have stopped Anthem from moving 500,000 customers to plans that only cover out-of-network charges in an emergency.

Med school blues: 45% of students feel burned out

Feeling overworked is common among physicians, but even those still pursuing their medical degrees are more likely to suffer from burnout.

CMS approves Massachusetts’ transition to ACO model for Medicaid

A five-year, $52.5 billion Medicaid waiver for Massachusetts has been approved by CMS, allowing the state to reorganize its MassHealth program and transition to an accountable care organization (ACO) model.

CMS's Slavitt: Healthcare can’t rely on old ways in ‘new normal’

CMS Acting Administrator Andy Slavitt said the healthcare industry’s move away from volume and towards value-based care will be worth the short-term disruption in remarks to the American Academy of Actuaries.

Mom who gave birth in hospital parking lot surprised at full delivery charge

Paula D’Amore expected to pay a little less for giving birth to her daughter in April, because she never actually made it inside Boca Raton Regional Hospital.

New AMA textbook offers clinician perspective on value-based care

The American Medical Association has announced the launch of a new “health sciences” textbook for medical school students, focusing on the transition towards value-based care and the skills physicians will need to navigate this new system, including using electronic health records.

425 physicians pulled from Tufts network

New Bedford, Massachusetts-based Southcoast Health System is forming its own independent doctors group, which means its 425 physicians will be leaving Tufts Medical Center’s network.

Price transparency led patients to choose lower-cost hospitals

When given access to transparency tools estimating prices for imaging services and sleep studies, commercially-insured patients were more likely to choose lower-cost hospitals.

Too few medical school grads choose family medicine

Medical schools are “underproducing” family physicians, according to a new survey, though some states and regions seem to have more success with graduates choosing to go into primary care.

First advanced certification for total hip, knee replacement awarded by Joint Commission

Ohio Specialty Surgical Suites of North Canton has become the first ambulatory surgical center to earn the Joint Commission’s advanced certification for total hip and total knee replacement.

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