Baseline Medicare Advantage payment rates for 2017 will rise by 1.35% on average, an early win for health insurance companies in what is the final Medicare rate battle of the Obama administration. When factoring in the risk coding tendencies, the average change in Medicare Advantage insurers’ revenue will climb 3.55% next year, according to a CMS [...]
Archive for the ‘CMIO Role Definition’ Category
Telemedicine is going to keep expanding, and the medical educational establishment needs to ensure that new doctors have the skills and understanding to use the technology effectively and ensure proper quality of care. So argue a group of educators from the University of California, San Francisco School of Medicine in an editorial recently published in [...]
In one of the bigger ironies of the Affordable Care Act era, when millions of people have gained access to insurance, many providers are reporting an increase in bad debt. The reason: More individuals and families are finding themselves in high-deductible plans as employers shift their benefit packages, and individuals and families buy plans on the federal [...]
Last year, Banner Health officials investigated the operations, culture and quality of care at nearly 100 skilled-nursing facilities in the greater Phoenix metropolitan area. The due diligence was done to limit the facilities recommended to patients leaving its hospitals who needed short-term skilled-nursing care, which outside the hospital can be in a nursing home or [...]
A growing number of health systems, accountable care organizations and medical home-style practices are deploying care coordinators—which some call navigators. Health systems that have invested in care-coordination staffers include Bon Secours Health System, Summa Health System, Mercy Health Select, Partners HealthCare, Advocate Health Care, Banner Health and the University of Michigan Health System. That is changing how [...]
Draft regulations the CMS issued Friday would make significant changes to the federal incentive program that requires doctors and hospitals to adopt and meaningfully use electronic health records. With some exceptions, hospitals, physicians and other eligible professionals would be expected to conform to the rules (PDF) by 2018. Physicians and hospitals have lobbied aggressively for the CMS [...]
Kaiser to use renewable energy for 50% of power needs Kaiser Permanente, in what it’s calling the largest renewable energy buy to date for a healthcare organization, plans to purchase enough wind and solar power to supply half of the electricity it uses at its more than 500 buildings in California.
UCLA’s Feinberg to replace Steele as Geisinger CEO Dr. David Feinberg, CEO of the UCLA Hospital System, will become the new president and CEO of the Danville, Pa.-based Geisinger Health System on May 1, replacing Dr. Glenn Steele Jr. Feinberg will be only the sixth CEO in Geisinger’s 100-year history.
This is an older article but received the most attention in 2014. The implementation date of the nationwide conversion to the ICD-10 family of diagnostic and procedural codes would be delayed by at least a year under a House Ways and Means Committee bill aimed at providing the annual fix to the physician sustainable-growth rate formula. The [...]
The federal government will wait until January to roll out its five-star rating system meant to help consumers compare quality at dialysis centers across the country. Use of the system on the CMS’ dialysis centers compare website had been scheduled for October, but was met with angst by dialysis providers who questioned the methodology and [...]