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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

Missouri to let medical students work as assistant physicians

Missouri Governor Jay Nixon has signed into a law a bill that makes it legal for medical students who have not yet completed a year of residency to work as “assistant physicians” within the state, delivering primary care services with 10 percent of their work reviewed by a physician.

HHS launches new initiative to help states reform Medicaid payment and delivery systems

Responding to recent recommendations made by the National Governors Association’s (NGA) Health Care Sustainability Task Force, the U.S. Department of Health and Human Services (HHS) is launching what it calls “a new innovative collaboration with states to improve care for Medicaid beneficiaries by accelerating efforts in reforming their health care systems to improve health and care while reducing costs.” 

New York provider consortium takes aim at Medicaid costs, and state grant money

More than 200 community-based organizations that provide various health services across the 14-county area around Rochester, New York, are teaming up to identify ways to reduce the state’s Medicaid costs while improving care quality. Along the way, they also hope to win some of the state’s Delivery System Reform Incentive Payment program, or DSRIP, $8-billion waiver from the Centers for Medicare and Medicaid Services.

Detroit Medical Center wins +$9 million HHS Innovation Award to test putting primary care adjacent to ED

Detroit Medical Center and Vanguard Health have won a $9,966,608 Department of Health an Human Services (HHS) Health Care Innovation Award to test what might happen to emergency department utilization if patient-centered medical home clinics are established next to four major inner-city emergency departments (EDs) and used to make primary care immediately available to individuals who arrive at the EDs for non-urgent care.

New government funding tackles primary care shortage

The Department of Health and Human Services (HHS) announced this week that it will put nearly $200 million toward community health center expansion funding and primary care physician training, as well as funding new health innovation projects that address primary care. But it is unlikely to make a sizeable dent in the primary care shortage, notes the grassroots advocacy group Primary Care Progress.

5 northeast Missouri health systems form collaborative network

The goal of creating better care coordination is pushing traditional competitors into more collaborative agreements. The latest example comes from Missouri, where 5 health systems announced the formation of a new health network encompassing more than 9,300 employees and approximately 1,000 employed and affiliated physicians.

Large consumer survey finds that patients link billing experience to perception of care quality

In a national online survey of healthcare consumers, two thirds reported consistently being surprised by medical bills despite the fact that nearly all desired upfront cost estimates and valued these nearly as much as other clinical factors in their decision making, including outstanding bedside manner, prompt test results and accurate diagnoses.

Consumer advocacy group launches campaign to shame 20 health systems into ending bus screenings for heart conditions

Public Citizen, a consumer advocacy group that claims more than 300,000 members and supporters, on Thursday shared 20 letters it had sent to 20 hospitals and health systems in eight states asking them to end their relationships with HealthFair, a Winter Park, Florida-based company that provides cardiovascular health screenings on buses.

MedPAC June report proposes per-beneficiary payment for primary care

The Medicare Payment Advisory Commission (MedPAC) has a new idea for what should replace the primary care bonus that is set to expire in 2015: Pay primary care physicians a set fee for every Medicare patient that is part of their panel.

Will healthcare providers become social safety net providers, too?

A new report from the Commonwealth Fund lays out the economic incentive the Affordable Care Act (ACA) creates for healthcare providers to address social disparities along with medical needs.