Quality

The focus of quality improvement in healthcare is to bolster performance and processes related to diagnostic and therapeutic procedures. Leaders in this space also ensure the proper selection of imaging exams and procedures, and monitor the safety of services, among other duties. Reimbursement programs such as the Merit-based Incentive Payment System (MIPS) utilize financial incentives to improve quality. This also includes setting and maintaining care quality initiatives, such as the requirements set by the Joint Commission.

CMS asks for proposals to reduce readmissions by 12% by 2019

CMS has released a request for proposals for hospital improvement plans with the goal of cutting 30-day hospital readmissions by 12 percent and reducing patient harm by 20 percent.

ACA hasn’t stopped sales of short-term, limited benefit insurance plans

Health insurance policies that don’t include common benefits are becoming more popular, according to the San Francisco Chronicle, even though the coverage may not meet the Affordable Care Act’s standards.

Tour 11 of the country's best healthcare workplaces

With the merging of many healthcare companies, one might wonder which ones treat their employees the best.

Kentucky clinic CEO convicted in $16M Medicare fraud, drug trafficking scheme

A husband and wife team at a Hazard, Ky.-based medical clinic have been found guilty of more than 180 charges, ranging from illegal drug distribution to healthcare fraud. 

Primary care doctors struggle with discussing long-term prognosis with patients

Despite clinical guidelines to incorporate long-term prognosis into decision making, several factors may lead primary care physicians to avoid following through on those recommendations.

Higher CMS star rating associated with lower patient mortality and readmissions.

A study of more than 3,000 hospitals found patient ratings, based on quality scores from the Centers for Medicare and Medicaid Services (CMS) 5-star hospital rating system, had an association with the rate of patient mortality and readmissions.

New study shows rich, poor have huge mortality gap in U.S.

Poverty in the U.S. is often associated with deprivations in housing, employment, and education. Now, a study published by the Journal of American Medicine offers, in unprecedented geographic detail, another stark reality: Poor people live shorter lives, too.

Report identifies 6 practices to improve healthcare for disadvantaged populations

A new report issued by the National Academies of Sciences, Engineering, and Medicine identifies six promising practices to improve healthcare for individuals in disadvantaged populations.

Around the web

The tirzepatide shortage that first began in 2022 has been resolved. Drug companies distributing compounded versions of the popular drug now have two to three more months to distribute their remaining supply.

The 24 members of the House Task Force on AI—12 reps from each party—have posted a 253-page report detailing their bipartisan vision for encouraging innovation while minimizing risks. 

Merck sent Hansoh Pharma, a Chinese biopharmaceutical company, an upfront payment of $112 million to license a new investigational GLP-1 receptor agonist. There could be many more payments to come if certain milestones are met.