Quality Of Care

Do Hospital Mergers, Acquisitions Increase Prices, Reps Ask MedPAC

by Jacqueline LaPointe

Energy and Commerce Committee leaders are calling on the Medicare Payment Advisory Commission (MedPAC) to settle the debate on whether hospital mergers and acquisitions raise prices for patients. In a...

Medical Liability Immunity Reduces Defensive Medicine, Costs by 5%

by Jacqueline LaPointe

A new working paper by the National Bureau of Economic Research shows that medical liability immunity can change how a provider practices medicine by decreasing defensive medicine use and its...

Quality Improvement Projects Save Children’s Hospitals Millions

by Jacqueline LaPointe

Care quality improvements require hospitals to invest their money, time, and staff. The investment may be large, but for two children’s hospitals it paid off, saving the organizations millions...

Healthcare Mergers, Consolidation Increase Patient Safety Risks

by Jacqueline LaPointe

Healthcare mergers and acquisitions, institutional affiliations, shared service agreements, and other healthcare consolidation activities may help organizations realize economies of scale and other...

3 Strategies to Decrease Low-Value Care, Healthcare Costs

by Jacqueline LaPointe

Low-value care, or care for which the potential harm outweighs the possible benefits or there are little to no benefits, is unnecessarily driving up already high healthcare costs and putting providers...

69% of Providers Delayed Care Over Hospital Supply Chain Shortages

by Jacqueline LaPointe

A new Cardinal Health survey revealed hospital supply chain shortages are impacting patient care, particularly in the operating room (OR). The survey of over 300 frontline clinicians, operating room...

Reducing Low-Value Care Key to Value-Based Reimbursement Success

by Jacqueline LaPointe

Value-based reimbursement success hinges on decreasing low-value care across patient populations, explained Scott Weingarten, MD, MPH, Senior Vice President and Chief Clinical Transformation Officer at...

Type of Provider Data Presented Influences Patient Volume, Choice

by Jacqueline LaPointe

Healthcare consumers who initially prioritized appointment availability when choosing a physician were four times more likely to select a physician based on provider data on quality performance and...

Low-Cost, Low-Value Resource Use Drives $586M in Wasteful Spending

by Jacqueline LaPointe

Inexpensive low-value resource use resulted in over $586 million, or $9.09 per beneficiary per month, in unnecessary healthcare spending in Virginia, a new Health Affairs study showed. The total...

Driven by Fee-For-Service, Docs Say Up to 30% of Care Unnecessary

by Jacqueline LaPointe

At least 15 percent to 30 percent of medical care is unnecessary, contributing to low-value resource use and wasteful healthcare spending, stated the majority of physicians surveyed in a recent PLOS...

MSSP ACOs Decreased Spending by $1B, Improved Care Quality

by Jacqueline LaPointe

Accountable care organizations (ACOs) participating in the first three years of the Medicare Shared Savings Program (MSSP) reduced Medicare spending, with a net reduction of almost $1 billion,...

Exploring Quality Measures Under Value-Based Purchasing Models

by Jacqueline LaPointe

CHICAGO – Jason Goldwater, MPA, MA, Senior Director of the National Quality Forum, recently likened the value-based purchasing transition to the evolution of music at Xtelligent Media’s...

Care Standardization Key to Healthcare Revenue Cycle Excellence

by Jacqueline LaPointe

To be named a top health system by Truven Health Analytics and IBM Watson Health, it takes a range of clinical quality improvements and healthcare revenue cycle efficiencies. But for St. Luke’s...

AMGA: Align Medicare Reimbursement, Measures for High-Value Care

by Jacqueline LaPointe

AMGA recently called on CMS to align quality measures with spending performance as well as Medicare reimbursement policies across Medicare Advantage, fee-for-service models, and accountable care...

NJ Quality Improvement Model Lowers Healthcare Costs by $641M

by Jacqueline LaPointe

Hospitals in New Jersey reduced healthcare costs by over $641 million between 2012 and 2016 after implementing a statewide quality improvement initiative, the New Jersey Hospital Association (NJHA)...

Understanding 2017 MIPS Quality, Cost Performance Categories

by Jacqueline LaPointe

CMS leaders at HIMSS17 were not shy with telling session attendees that they are currently in the first Quality Payment Program performance year. To help providers better understand the program, which...

How Do Hospital Mergers Lower Costs, Drive Quality Improvement?

by Jacqueline LaPointe

Recent hospital mergers and acquisitions led to significant healthcare costs savings without sacrificing care quality and affordable prices, a recent Charles River Associates and American Hospital...

Avoidable Hospitalizations Drop 31% for Long-Term Care Patients

by Jacqueline LaPointe

Avoidable hospitalizations among dual-eligible long-term care facility residents dropped by 31 percent between 2010 and 2015 largely because of value-based care programs, CMS recently stated in an...

Higher Medicare Reimbursement Not Related to Better Quality

by Jacqueline LaPointe

According to a recent study in JAMA Surgery, Medicare reimbursement amounts for patients who were rescued from surgical complications were two to three times greater at the highest cost-of-rescue...

OIG Identifies Several Quality Improvement Challenges at IHS

by Jacqueline LaPointe

The Department of Health and Human Services (HHS) Office of the Inspector General (OIG) recently identified several quality improvement challenges at Indian Health Services (IHS) hospitals, including...