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Care Delivery

 

The second year of the Merit-based Incentive Payment System (MIPS) has proposed new option for participation, with clinicians able to join together in “virtual groups” to report on MIPS performance measures.

The average millennial—someone born between 1982 and 2000—is nearly twice as likely to become a registered nurse (RN) than a baby boomer, a “surprising surge of interest” potentially averting a large national shortage of nurses.

In 2016, there were more than 200 freestanding emergency departments (EDs) in Texas, the center of a boom in these sites of care. With far fewer restrictions on where they can be built compared to hospital-based EDs, most of these facilities have been built in areas where residents have higher household incomes.

The 626 health systems in the U.S. accounted for the majority of hospitals, beds and discharges in 2016, according to data released by the Agency for Healthcare Research and Quality (AHRQ).

Group market insurance plans had premiums increase by an average of 3 percent this year, the sixth consecutive year of a single-digit hike and well below the 20 percent jump in non-group market premiums, while employers continue to search for ways to cut costs through different sites of care and wellness programs.

 

Recent Headlines

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.

UPMC’s acquisition of Susquehanna Health comes with $500 million in improvements

The four-hospital Susquehanna Health system is officially a part of the University of Pittsburgh Medical Center (UPMC), with the deal including $500 million in renovations and upgrades at the newly acquired facilities.

BCBS of Texas will launch new plan for children with demanding, complex conditions

Blue Cross Blue Shield of Texas will soon offer more benefits to families with children suffering from complex and demanding conditions, such as mental health disease or drug and alcohol addiction.

Weathering the storm: Maintaining imaging in the face of disaster

Hospital administrators and leaders can ensure their imaging services remain operational during a disaster scenario with careful planning and management.

Employer demand for value-based care is growing

More employers are implementing value-based reimbursement and payment arrangements with insurers and providers, according to a survey released by employee benefits consulting firm Willis Towers Watson.

The 5 innovation questions CMS wants exchange insurers to ask themselves

Health insurers need to see the changing healthcare market as an opportunity to innovate like some car companies have done in their industry, CMS Acting Administrator Andy Slavitt said at an Oct. 5 forum of marketplace insurers.

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