Blog

14 Aug
0

Primary care docs easier to find in ACA plans than Medicaid, study finds

Dive Brief:

  • Primary care physicians accept Affordable Care Act exchange plans more often than Medicaid, but not as much as employer-sponsored health insurance, according to a Health Affairs study.
  • The analysis found that PCP in-network participation was 91% in the ACA marketplace. That’s compared to 75% in Medicaid and 100% for employer-sponsored plans.
  • The researchers also discovered that one-third of in-network physicians don’t have appointments available for new Medicaid patients.

Click here to read more

Read More
14 Aug
0

How providers are working to stem missed appointments

Patient no-shows are a costly, intractable headache for healthcare providers. Millions of patients cancel, skip or reschedule appointments with their clinicians every year, creating vacant schedules and expenses that can cost the industry by one estimate $150 billion annually.

Click here to read more

Read More
14 Aug
0

Telling doctors about their patients’ opioid deaths curbed prescriptions

Dive Brief:

A study published in Science found that telling doctors in San Diego County of a patient’s overdose death led to that physician prescribing fewer opioids.

The county’s medical examiner sent a letter to physicians whose patients died within a year of an opioid prescription. The notification included information about safe prescribing.

The letter led to lower high-intensity prescribing, fewer opioid prescriptions and overall lower opioid intake, according to the repot. The study found “modest prescribing reductions,” suggesting clinicians used more caution rather than completely stopping opioid prescriptions.

Click here to read more

Read More
26 Jul
0

Social determinants tech field wide open for health industry

Few healthcare organizations are investing in social determinants of health technology, and while an uptick is expected, the market will remain relatively weak until providers find the best way to use the data, according to a new analysis from Patchwise Labs.

The report found that fewer than 4% of health systems and managed care organizations have invested in SDoH technology. The consultancy puts the market currently at $88 million to $92 million.

Click here to read the full story

Read More
26 Jul
0

Higher Medicaid rates improved behavioral health, study finds

Dive Brief:

  • Higher primary care Medicaid reimbursement rates improve behavioral health outcomes among enrollees, according to a new report by the National Bureau of Economic Research.
  • The report analyzed spillover effects of the largest federally-mandated increase in Medicaid primary care reimbursement rates (between 2013 and 2014 through the Affordable Care Act) on behavioral health outcomes such as mental illness, substance use disorders (SUDs) and tobacco use over the time period 2010 to 2016.
  • The improvement in outcomes came without beneficiaries seeking more behavioral health services outside of primary care, suggesting that primary care providers are efficient in improving behavioral health among the Medicaid population.

Click here to read the full story

Read More
26 Jul
0

CMS rule proposes site neutral payments, extends 340B cuts

Dive Brief:

  • CMS issued a proposed rule for the Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Centers (ASC) for 2019 that would institute site neutral payments and extend 340B payment cuts to previously exempt off-campus providers.
  • The proposal would also remove a number of reporting requirements for OPPS and ASCs. CMS also issued a request for information (RFI) soliciting suggestions on how it can improve price transparency.
  • The American Hospital Association and other industry groups pushed back swiftly on the plan for site neutral payments as well as further cuts to payments under the 340B program. The AHA accused CMS of showing “a lack of understanding about the reality in which hospitals and health systems operate daily to serve the needs of their communities.”

Click here to read more

Read More
19 Jul
0

Sparks Health in Fort Smith, Van Buren sold to Little Rock-based Baptist Health

For the third time in less than 10 years, Sparks Health System will have a new owner. Little Rock-based Baptist Health System has agreed to acquire the Fort Smith hospital from Franklin, Tenn.-based Community Health Systems (CHS).

A transaction amount was not disclosed in the CHS announcement Wednesday (July 18). The deal is set to close in the fourth quarter of 2018.

“I’m humbled to think of the opportunities we have for the state’s first hospital in Fort Smith to join Baptist Health, the state’s largest and most comprehensive health-care system,” Troy Wells, president and CEO of Baptist Health, said in a statement from Baptist. “It is an honor to align our organization with the outstanding reputation of the entire Sparks family and its team of dedicated physicians and caregivers.”

Click here to read more

Read More
19 Jul
0

Trump administration to give Kentucky Medicaid work requirement a second chance

The Trump administration is reviving its efforts to let Kentucky compel hundreds of thousands of poor residents to work or prepare for jobs to qualify for Medicaid, after a recent federal court order struck down the plan.

Federal health officials have decided to consider for a second time the same application that Kentucky submitted last year. In an unorthodox maneuver, the Centers for Medicare and Medicaid Services has decided to open a fresh period for public comment on Kentucky’s proposal to transform its Medicaid program, an agency spokesman confirmed Wednesday.

Click here to read more

Read More
16 Jul
0

7,000 people fail to meet Arkansas Medicaid work requirement

More than 7,000 people on Arkansas’ Medicaid expansion didn’t meet a requirement that they report at least 80 hours of work in June and face the threat of losing their coverage if they fail to comply sometime before the end of this year, state officials said Friday.

Arkansas’ requirement took effect last month. Participants in the program lose coverage if they don’t meet the work requirement for three months in a calendar year.

Read More
16 Jul
0

Doctors worry CMS proposals will slow the move to value-based pay

An avalanche of new pay proposals from the CMS seeks to reduce provider burden, so much so that it could undermine efforts to shift Medicare to a value-based system, doctors warned.

The agency released a 1,400-page proposed rule July 12 that for the first time combined the annual physician fee schedule and the Medicare Quality Payment Program rules, which implements sections of MACRA each year.

Read More
1236