Economics

This channel highlights factors that impact hospital and healthcare economics and revenue. This includes news on healthcare policies, reimbursement, marketing, business plans, mergers and acquisitions, supply chain, salaries, staffing, and the implementation of a cost-effective environment for patients and providers.

M&A Part II: Practical Considerations of the Deal

House

In the hospital space, as in other markets, mergers and acquisitions (M&A) can be fraught with emotion. However, setting feelings aside and concentrating on practical matters—especially unique challenges that are inherent in merging with or acquiring a particular type of institution—are essential to deal-making success.

CHIME to AHRQ: Quality reporting automatization a long-term goal

The College of Healthcare Information Management Executives (CHIME) issued a response to an Agency for Healthcare Research and Quality (AHRQ) request for information on health IT-enabled quality measurement published in the Federal Register on July 20.

Checklist puts pay for performance to the test

Pay for performance has captured the fancy of policymakers in the U.S., U.K. and Australia, which have integrated financial incentives or disincentives into national healthcare programs. But these efforts may be based on weak evidence, according to an analysis published online Aug. 14 in BMJ. The authors provided a checklist to guide policy makers past pitfalls while an editorial dissected the assumptions behind the pay-for-performance concept.

R.I. hospital uses CMS grant to expand medical home model for premature babies

PROVIDENCE, R.I.Women and Infants Hospital of Rhode Island hopes to expand the care it provides preterm babies and their families with a $3.2 million grant from the Centers for Medicare & Medicaid Services (CMS) healthcare innovation awards program. All four of Rhode Islands congressional lawmakers met with local providers at the hospital on Aug. 15 to hear how the money will help them deliver higher quality care at lower costs.

CMS seeks public comment on ICD-10 readiness assessment

The Centers for Medicare & Medicaid Services (CMS) is seeking public comment to inform a new version of an ICD-10 industry readiness assessment, which the agency will use to survey 1,200 healthcare stakeholders from various sectors to gauge progress made toward the transition to ICD-10, according to an Aug. 10 notice in the Federal Register.

Blue Cross, N.J. provider launch ACO

Horizon Blue Cross Blue Shield of New Jersey and Optimus Healthcare Partners has launched an accountable care organization (ACO) that will include 42 primary care practices and 104 primary care physicians that treat more than 40,000 patients in 11 counties.

Quality initiative reduces CCTA misuse by 60%

Implementing a collaborative quality initiative can reduce inappropriate use of cardiac CT angiography (CCTA) by 60 percent, according to results of a study published online Aug. 8 in the Journal of the American College of Cardiology. All referring physician specialties lowered inappropriate use rates in the study.

Local public health integration efforts progressing, but lack resources

The increasing number of integrated health systems mostly includes commercial organizations, but integrated public health systems are necessary to provide quality care to patients relying on a safety net, according to research published in the August issue of Health Affairs. Their investigation of 10 California counties that have attempted to integrate safety net healthcare services offers a glimpse into what healthcare will be like when millions join the ranks of the insured and payment reforms begin taking hold.

Around the web

The American College of Cardiology has shared its perspective on new CMS payment policies, highlighting revenue concerns while providing key details for cardiologists and other cardiology professionals. 

As debate simmers over how best to regulate AI, experts continue to offer guidance on where to start, how to proceed and what to emphasize. A new resource models its recommendations on what its authors call the “SETO Loop.”

FDA Commissioner Robert Califf, MD, said the clinical community needs to combat health misinformation at a grassroots level. He warned that patients are immersed in a "sea of misinformation without a compass."

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