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Care Delivery

 

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.

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.

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.

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).

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.

 

Recent Headlines

For those about to operate: Rock music preferred in OR

Surgeons prefer listening to rock music while operating more than any other genre, narrowly beating out pop and classical in a survey of surgeons’ listening habits conducted by Spotify and healthcare app Figure 1.

Centene will offer ACA coverage in bare Nevada counties

The number of counties at risk of having no insurer on their Affordable Care Act (ACA) exchange has fallen to just two, with Centene stepping in to cover potentially bare counties in Nevada.

Where execs, clinicians, payers, purchasers stand on single-payer

The idea of a national, single-payer healthcare system is as divisive as ever to people within the industry, according to a new survey from cloud-based researcher company Reaction Data.

MIPS named top regulatory burden for physician practices

When asked to identify what regulations are the most burdensome, physician practices pointed at the Merit-based Incentive Payment System (MIPS) being implemented as part of the Medicare Access and CHIP Reauthorization Act (MACRA).

ACA participation: Anthem scales back in Nevada, Georgia; Intermountain stays put

Insurance giant Anthem continued its departure from Affordable Care Act (ACA) exchanges, announcing it will no longer offer plans in Nevada and 74 counties in Georgia.

CMS extends Florida’s managed care demonstration

CMS has approved a five-year extension of Florida’s statewide Medicaid managed care demonstration, including $1.5 billion in funding for support uncompensated care for low-income patients.

What declaring a national emergency on opioids could mean for healthcare

The White House commission set up by President Donald Trump to address the nation’s opioid addiction “epidemic” has recommended declaring a national public health emergency, which would impact healthcare providers.

Counties at risk of having no ACA insurers shrinking

On July 26, CMS said 40 counties in the U.S. were projected to have no insurers offering coverage on Affordable Care Act (ACA) exchanges. By July 31, that number had shrunk to 19 after five insurance companies announced plans to participate in parts of Ohio.

Women, DOs make up greater share of physicians

The total number of licensed physicians has increased by 12 percent since 2010, with women and Doctors of Osteopathic Medicine (DOs) making up a greater share of the physician population, according to a report released by the Federation of State Medical Boards (FSMB).

Adventist Health shutters financially troubled Washington hospital

Walla Walla General Hospital in Washington has been closed by owner Adventist Health, citing financial challenges and a failed plan to transfer ownership Providence Health & Services.

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