Six certified nursing assistants are suing a previous employer, accusing the facility of agreeing to patient requests for white-only caregivers.
Apr 20, 2018 | Healthcare Economics
Higher deductible bronze-level plans were more popular on the Affordable Care Act (ACA) exchanges in 2018, but customers may not be aware that moving toward this coverage will leave them paying out of pocket for primary care until they hit their deductible—leading some to avoid primary care altogether due to the costs.
Apr 20, 2018 | Quality
Teaching hospitals that rack up dozens of safety violations from CMS are also the training ground for the next generation of physicians, which could increase the risk of those young doctors picking up habits that result in unsafe care or burning themselves out and leaving the profession.
Apr 16, 2018 | Care Delivery
The American Medical Association (AMA) and the American Society of Addition Medicine (ASAM) have a jointly proposed a new alternative payment model (APM) centered around patients with a physical dependence on opioids, with a one-time payment for initiating medication-assisted treatment (MAT) and monthly payments for continuing treatment.
Apr 16, 2018 | Quality
After at least 10 patients received improper diagnoses owed to pathology lab errors, Winston Salem, N.C.-based Wake Forest Baptist Medical Center has been reviewing 9,291 cases ahead of a June deadline set by CMS that could strip its Medicare certification.
Apr 16, 2018 | Care Delivery
While allegations of rape, sexual assault and misconduct have ended the careers of Hollywood power brokers and politicians, the healthcare industry appears to be “often more forgiving,” according to an Associated Press (AP) investigation of physicians accused of abuse.
Apr 13, 2018 | Care Delivery
At first, the 2013 Boston Marathon was going more smoothly for hospitals in and around downtown Boston compared to the prior year’s event, when a heat wave meant more runners needed medical attention. David Reisman, MHA, senior administrative director of emergency medicine at Massachusetts General Hospital, admitted he had begun to think it would be an easy day.
Apr 13, 2018 | Care Delivery
CMS has begun sending out new cards for Medicare beneficiaries that don’t include information about the patient’s Social Security number. Most beneficiaries, however, don’t know about the new cards, leaving them vulnerable to scams.
Apr 13, 2018 | Care Delivery
Phoenix’s Banner Health has agreed to pay more than $18 million to settle a whistleblower lawsuit alleging it overcharged Medicare by admitting patients at hospitals for brief, inpatient services when they could’ve been treated in less expensive outpatient settings.
Apr 12, 2018 | Healthcare Economics
The report from the Health Care Cost Institute (HCCI) examined claims for people with multiple sclerosis (MS) from 2009 to 2015 covered by individual market, employer-sponsored or Medicare Advantage plans. It found total spending per MS patient rose from around $23,900 to $39,628 by 2015. During the same time period, the share of spending spent towards injectable and oral disease modifying therapies (DMTs) rose from 39 percent to 53 percent.
Apr 12, 2018 | Care Delivery
The underlying causes haven’t changed behind the shortage of doctors in the United States: The population aged 65 and over is expected to grow by 50 percent by 2030, increasing demand for healthcare services. The physician population is also aging, with 13.5 percent of the active workforce already aged 65 and over and another 27.2 percent between the ages of 55 and 64.
Apr 11, 2018 | Care Delivery
What will keep early career physicians from leaving a hospital or health system may differ between men and women, according to a survey from CompHealth. Regardless of gender, most physicians said they’re finding jobs the old-fashioned way: referrals and networking.
Apr 11, 2018 | Care Delivery
The Hashmi Group’s unusual business model of turning away commercial insurance and managed care contractors while accepting only Medicare and Medicaid at rural hospitals has worked, according to its owners. But it has also attracted the attention of state inspectors thanks to very high out-of-network rates, expired licenses for staff and missing infection protocols.
Apr 10, 2018 | Leadership
Meadows Regional Medical Center in Vidalia, Georgia, serves a “very rural” area, according to president and CEO Alan Kent, DHA, just the kind of facility that has often been scooped up by larger systems in recent years. Staying independent meant the hospital needed to drive through a series of management-led initiatives on quality, patient growth and staffing levels.
Apr 10, 2018 | Care Delivery
In a survey of 232 chief nursing officers (CNOs) by AMN Healthcare, the vast majority said they’re experiencing at least a moderate shortage of nurses at their organizations—and 61 percent expected it would only get worse in the next five years.
Apr 09, 2018 | Healthcare Economics
For all the attention given to forays from Amazon, Apple and Walmart into the healthcare space, traditional providers are more worried about the continued expansion of UnitedHealthGroup’s Optum into clinical care, according to an article in Bloomberg.
Apr 06, 2018 | Health IT
Facebook had been discussing a data sharing project with hospitals and medical groups to match patient data with socioeconomic information from Facebook profiles, but CNBC reports the project has been put on hold as the social network faces scrutiny over how it collects and shares data on its users.
Apr 05, 2018 | Care Delivery
As the baby boomer generation ages, more patients are seeking joint replacements. What could be a financial windfall for orthopedic surgeons and practices is beginning to become a problem as providers are struggling to keep up with the demand.
Apr 05, 2018 | Care Delivery
In the first public health advisory from his office in 13 years, U.S. Surgeon General Jerome Adams, MD, MPH, has asked Americans—particularly those who have friends, family or are personally at risk of overdosing on opioids—to carry the overdose-reversing medication naloxone.
Apr 04, 2018 | Quality
In 2017, the Centers for Disease Control and Prevention (CDC) found 221 instances of “unusual resistance germs” which can cause infections untreatable by antibiotics and spread that resistance to other germs. This “nightmare bacteria,” as the CDC called it, means hospitals and other healthcare facilities need to take “early and aggressive” action whenever a single case is found within their walls.
Apr 02, 2018 | Care Delivery
A bundled payment arrangement created in Texas by a non-profit Medicaid health maintenance organization (HMO) didn’t result in consistent savings for the two large physician groups participating, according to research displayed at the American College of Healthcare Executives (ACHE) Congress in Chicago.