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Care Delivery

 

In 2014, Maryland adopted an all-payer, global budget program for most of its hospitals, making a fixed payment to facilities for services provided in inpatient, outpatient and emergency departments. In its first two years, the concept contained costs, but didn’t appear to change utilization by patients.

Seventeen more accountable care organizations (ACOs) have joined CMS’s Next Generation ACO model, the most advanced and high-risk available to ACOs in Medicare.

Intermountain Healthcare, Ascension Health, SSM Health and Trinity Health announced they’ll create their own not-for-profit generic drug company, called Project RX, with the goal of increasing pharmaceutical competition and making “essential generic medications more available and more affordable.”

Older diabetic patients are living longer as they and their physicians get better at managing the condition, but with longer lifespans comes additional years of incurring higher healthcare expenditures than non-diabetics.

The number of Americans without health insurance saw its biggest increase in nine years in 2017, rising 1.3 percentage points from the year prior, representing an estimated 3.2 million more people being uninsured.

 

Recent Headlines

40% of adults enrolled in high-deductible insurance plans

A recent survey shows an increasing number of adults were enrolled in health plans with deductibles above $1,300 for individual plans and $2,600 for family coverage in 2016 as more employers turn to plans with higher out-of-pocket costs.

$155M cancer pavilion expansion begins at Henry Ford Health

Detroit’s Henry Ford Health System has broken ground on a $155 million expansion of its cancer institute, to be named the Brigette Harris Cancer Pavilion.

Med school enrollment up 28% since 2002, but residency slots may not be keeping pace

First-year enrollment at medical schools in the U.S. has gone up by 28 percent since 2002, but schools have told the American Association of Medical Colleges (AAMC) they have concerns there aren’t enough residency slots to match that growth.

MidMichigan Health plans to build $57 million cardiovascular center

MidMichigan Health is hoping to begin a $57 million construction project at its flagship campus in Midland in fall 2017 to build a new heart and vascular center.

CPC+ applications open for second round

Primary care practices in Louisiana, Nebraska, North Dakota and New York’s Erie and Niagara Counties can now apply to participate in the second round of CMS’s Comprehensive Primary Care Plus (CPC+) model.

CMS pushes back cardiac, orthopedic bundles to 2018

For the second time under the Trump administration, CMS has delayed the implementation date of bundled payments for cardiac care and an expansion of a joint replacement model, which are now due to begin Jan. 1, 2018, opening the door to additional changes, like making the models voluntary rather than mandatory.  

Cedars-Sinai, Torrance Memorial propose affiliation

Two large hospitals in the Los Angeles area would be under the same parent organization under a proposed affiliation plan announced by Cedars-Sinai and Torrance Memorial Medical Center.

Geisinger, Highmark pursuing joint venture on new care model

Geisinger Health System and insurer Highmark have signed a letter of intent for a new joint venture to develop a new clinical network and reimbursement in four Pennsylvania counties.

New Stanford children’s hospital set to open in December

New renderings have been released of the new pediatric and obstetric hospital campus at Lucile Packard Children’s Hospital Stanford, which is now slated to open in December, five years after the groundbreaking for the facility. 

ACO achieved sustainable cost reduction through care management program

By focusing on beneficiaries with high risks of future spending and steering care away from emergency departments, one participant in the Pioneer ACO model offered a scalable program which can achieve sustainable decreases in care costs, according to a study in the May 2017 issue of Health Affairs.

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