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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

Healthcare.gov sign-up deadline pushed back

HHS pushed back the deadline for customers to buy coverage on the Affordable Care Act (ACA)'s federally run insurance exchange, giving buyers until Dec. 19 to pick a health plan which will go into effect in the new year.

New ACO model for dual-eligible beneficiaries announced by CMS

CMS has announced the creation of the Medicare-Medicaid Accountable Care Organization (ACO) model, aiming to improve care coordination for beneficiaries who are enrolled in both programs.

Mississippi ranked last in annual state health report

High levels of smoking and poverty contributed to Mississippi being ranked 50th in the 2016 edition of America’s Health Rankings from the United Health Foundation, which also identified some national trends which could reverse recent gains made in other categories of health.

ACA exchange sign-ups outpacing last year

The number of enrollees in plans offered on health insurance exchanges has increased slightly compared to the last open enrollment period, with sign-ups accelerating before the deadline to get coverage starting Jan. 1, 2017.

Flu vaccine coverage well below CDC targets

The Centers for Disease Control and Prevention (CDC) reported only 40 percent of Americans have received this season’s flu vaccine. It’s about the same coverage as the prior season—but well behind the agency’s target of 70 percent.

Retail clinics aren’t reducing unnecessary ED visits

Having a retail health clinic nearby isn’t steering patients away from going to the emergency department (ED) for common low-acuity conditions.

Anthem allowed to move forward with PPO to EPO switch in California

A California judge denied a request for a restraining order which would have stopped Anthem from moving 500,000 customers to plans that only cover out-of-network charges in an emergency.

Med school blues: 45% of students feel burned out

Feeling overworked is common among physicians, but even those still pursuing their medical degrees are more likely to suffer from burnout.

CMS approves Massachusetts’ transition to ACO model for Medicaid

A five-year, $52.5 billion Medicaid waiver for Massachusetts has been approved by CMS, allowing the state to reorganize its MassHealth program and transition to an accountable care organization (ACO) model.

CMS's Slavitt: Healthcare can’t rely on old ways in ‘new normal’

CMS Acting Administrator Andy Slavitt said the healthcare industry’s move away from volume and towards value-based care will be worth the short-term disruption in remarks to the American Academy of Actuaries.

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