Management

This page includes content on healthcare management, including health system, hospital, department and clinic business management and administration. Areas of focus are on cardiology and radiology department business administration. Subcategories covered in this section include healthcare economics, reimbursement, leadership, mergers and acquisitions, policy and regulations, practice management, quality, staffing, and supply chain.

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.

CMS says rule would align quality reporting initiatives, reduce provider costs

The Centers for Medicare & Medicaid Services (CMS) proposed rule aims to align the physician quality reporting system with similar quality reporting initiatives to reduce the burden on providers, according to an Aug. 7 National Provider Call.

CSC: 'No magic bullet' for reducing readmissions, but health IT helps

Emerging healthcare payment models underscore the widespread belief that reducing hospital admissions will reduce healthcare costs, and although there is not a one-size-fits-all solution to accomplishing this goal, there are lessons hospitals can look to, according to a CSC report published in July.

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.