An estimated 9.8 million Americans may be uninsured come 2016 should states continue to forgo Medicaid expansion and should the Supreme Court side with the plaintiffs in King v. Burwell and determine federal subsidies are illegal in states not operating their own health insurance exchanges, according to a new issue brief from the Robert Wood Johnson Foundation.
Outpatient care is both the great salvation and curse for providers. It promises to lower the cost of care for patients, but reimbursements are often significantly lower as well. That means hospitals often have to engage in a juggling act to ensure they carefully manage the costs for such patients in order to ensure that margins remain intact. And it will be become more commonplace as payment models shift toward value-based care, according to Hospitals & Health Networks.
Insurers may want to consider penalizing members who don't quit smoking as an incentive to motivate them into changing the expensive behavior that costs insurers billions of dollars in healthcare coverage.
As providers increasingly strive to keep patients healthy, it has become clear that much of what influences health outcomes happens outside of traditional care settings. With that in mind, a new set of white papers from the Institute for Clinical Systems Improvement illustrates how healthcare leaders can leverage community resources and pursue partnerships that help them achieve better population health management.
As healthcare leaders prepare their hospitals or hospital systems for sweeping changes, such as the shift to value-based care and increased readmission penalties, they must also improve care coordination. Patient satisfaction, the bottom line and care quality all improve when care coordination programs are effective, and there are several steps to ensure this, according to Hospitals & Health Networks.
An Indiana patient harm reduction campaign saved more than $22 million over three years, according to research from the Indiana Hospital Association's Indiana Patient Safety Center.
The antibiotic-resistant superbug outbreaks tied to a specialized device known as a duodenoscope has left hospitals across the country uncertain about how to safely sterilize the scopes absent any clear guidance from the government or device manufacturers, the L.A. Times reports.
After years of funding cuts to the nation's mental health infrastructure, hospital emergency departments are often left to care for mentally ill or addicted patients, who represent nearly 4 percent of all ED visits. Now, many providers strive to improve their behavioral healthcare options, according to Hospitals & Health Networks.
Practicing clinicians and patients have the clearest understanding of what they need from health IT and should be shaping the national HIT research agenda, according to an article published in the latest edition of the Journal of the American Board of Family Medicine.
The top medical conditions for overall spending have generally remained static for a decade, although the amount being spent on these ailments has risen substantially, according to data from the U.S. Agency for Healthcare Research and Quality.