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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

For patients, structural integration doesn’t always mean integrated care

Structurally integrating a medical group may not mean patients see the care its delivering as integrated, according to a study published in the May 2017 issue of Health Affairs.

First physician license approved under interstate compact

Two years after the first states passed legislation adopting the Interstate Medical Licensure Compact (ILMC), the first license has allowing a physician to practice across state lines has been approved.

Children’s healthcare rankings: Vermont named No. 1, Nevada last among states

Judging by 28 different metrics, Vermont offers the highest-quality and most cost-efficient care for children, according to a new study from personal finance website WalletHub, while Nevada struggles with limited access to care and poor oral health among those under the age of 18. 

ACO success limited by high turnover among physicians, patients

The effectiveness of accountable care organizations (ACOs) may be limited by two factors, according to a new study published in Health Affairs: low numbers of enrollees attributed to participating physicians and the constant “churn” of the patient population caused by substantial physician turnover.

Michigan ER doc charged with performing genital mutilation on 7-year-olds

An emergency physician from Michigan has been arrested on charges she performed genital mutilation procedures on multiple girls between the ages of 6 and 8, which prosecutors say could be the first criminal case involving the practice since it was outlawed in the U.S. in 1996.

What U.S. hospitals can learn from a value-based strategy in the Netherlands

While healthcare costs continued to rise at other facilities, one Netherlands hospital was able to lower costs by 8 percent in a single year while improving quality. The credit goes to a value-based care strategy focusing on everything from closer coordination on cardiovascular patients to keeping more experienced physicians in the emergency department. 

ACHE 2017: Embracing value-based care essential to attracting big purchasers like Boeing, Walgreens

Large corporations want healthy workers and lower healthcare costs. If hospitals and medical groups are going to win the right to provide care to those employees and their families, innovative approaches to care, having the right infrastructure in place and taking a lot of meetings are a must. 

AMA: 90% of physicians satisfied with career choice

Despite changes in the healthcare field and multiple surveys finding an increase in physician burnout, almost all doctors say they’re satisfied with their choice to become physicians, according to a new survey from the American Medical Association (AMA). 

AAMC: Physician shortage could surpass 100,000 by 2030

The Association of American Medical Colleges (AAMC) said the nation’s physician shortage isn’t going to get any better, projecting a shortage of between 40,800 and 104,900 doctors by 2030 in a report conducted by global information company IHS Markit.

First-year residents will once again be able to work 24-hour shifts

The Accreditation Council for Graduate Medical Education (ACGME) has revised its limits on how long first-year residents can work in a single shift, increasing it from 16 to 24 hours, matching the maximum for residents at all levels.

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