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Care Delivery

 

Several groups representing nurses have accused the American Medical Association of igniting a “turf war” and “hampering access to care” by adopting a resolution to oppose efforts to allow non-physician practitioners to practice independently without the supervision of a licensed physician.

Healthcare real estate company Mainstreet Health Investments has signed a definitive agreement to acquire Care Investment Trust and its dozens of senior care and skilled nursing facilities in 11 states, with the expanded company rebranding to become Invesque.

Too few accountable care organizations (ACOs) were interested in testing CMS’s Shared Decision Making (SDM) model, so the agency announced it wouldn’t be moving forward with the program.

The buzzwords related to information technology and advanced communication are familiar—digital, virtual, real-time, eHealth, telemedicine. But sometimes they can be used in a way that’s a bit confusing. For example, a facility outside St. Louis is perhaps the world’s most advanced virtual hospital. But the building is real, the doctors are real, the nurses making rounds are real. It’s just the patients that are missing.

The American Medical Association (AMA) announced it will expand its effort to prevent Type 2 diabetes to eight additional states after it was launched last year in California, Michigan and South Carolina.

 

Recent Headlines

States looking beyond managed care to value-based models in Medicaid

State spending on Medicaid grew 3.9 percent while enrollment was up by 2.7 percent in fiscal year 2017, both well below the double-digit increases seen in the years immediately following the expansion of Medicaid eligibility under the Affordable Care Act ACA).

Come together: 5 things to know about forming a virtual group in MIPS

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.

Millennials will dominate nursing profession by 2020

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.

Freestanding ERs clustered in wealthier areas

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.

AHRQ: Nearly 70% of hospitals are in health systems

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).

Wellness programs, new sites of care common among larger employers’ insurance plans

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.

Anthem will re-enter Virginia ACA markets, covering 63 bare counties

Just a month earlier, Anthem had announced it wouldn’t offer ACA exchange coverage in the state, blaming “continued uncertainty” surrounding the law.

ACA’s ‘bare’ county problem is back

Sixty-three cities and counties and more than 70,000 enrollees in Virginia are now at risk of having no insurer participating in their Affordable Care Act (ACA) exchange for 2018, a problem which had appeared to be solved in other parts of the country just two weeks prior.

Construction begins on $270M Texas Health, UT Southwestern campus

Ground has been broken on a $270 million medical campus in Frisco, Texas, that will be jointly operated by Texas Health Resources and the University of Texas Southwestern Medical Center.

Uninsured rate rising in states that didn't expand Medicaid

In the first three months of this year, 8.8 percent of the U.S. population lacked health insurance, a slight decrease from the final 2016 numbers as the big gains in coverage from the Affordable Care Act appear to have ended.

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