Monthly Archives: March 2012

Women Charged $1 Billion More Than Men for Health Insurance Coverage

Health insurers are charging women more than men for the same coverage, costing women about $1 billion a year, according to analysis of advertised premiums in a new report from the National Women’s Law Center. The center’s report documents how … finish reading Women Charged $1 Billion More Than Men for Health Insurance Coverage

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5 Operational Challenges of Participating in CMS’s ACE Demo

Developing gainshare criteria, identifying quality metrics, and standardizing implant buying practices were some of the challenges Baptist Health System faced when participating in CMS’ Acute Care Episode (ACE) demonstration pilot, which aligned payment for services delivered across episodes or “bundles” … finish reading 5 Operational Challenges of Participating in CMS’s ACE Demo

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Use of Anesthesia Providers to Monitor Sedation During Colonoscopies Has Increased

Use of anesthesia providers to monitor sedation during screening colonoscopies and other outpatient gastroenterology procedures more than doubled from 2003 to 2009 in the United States, with most of the increase among low-risk patients who may not need this service, … finish reading Use of Anesthesia Providers to Monitor Sedation During Colonoscopies Has Increased

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Hospitals Working with Nurses to Receive Up to $200 Million for Advanced Training: CMS

Hospitals working with nursing schools to train advanced practice registered nurses (APRNs) can receive payments of up to $200 million over four years to cover the costs of APRNs’ clinical training if selected, according to CMS. CMS is currently calling … finish reading Hospitals Working with Nurses to Receive Up to $200 Million for Advanced Training: CMS

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Survey Finds Many Healthcare Organizations Use Physician Alignment Criteria in Incentive Plans

Nearly 40 percent of healthcare organizations are using some kind of physician alignment criteria in their incentive plans, according to a new survey from Integrated Healthcare Strategies. The survey, which monitors trends in healthcare salary increases, incentive practices, and benefit … finish reading Survey Finds Many Healthcare Organizations Use Physician Alignment Criteria in Incentive Plans

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CMS Demo Aims to Expand Access to Emergency Psychiatric Care for Medicaid Beneficiaries

A new demonstration program to expand access to emergency psychiatric care for Medicaid beneficiaries could significantly cut state and hospital healthcare costs, reduce general acute care ED visits and help vulnerable patients get proper care, says the CMS. The Medicaid … finish reading CMS Demo Aims to Expand Access to Emergency Psychiatric Care for Medicaid Beneficiaries

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Certification Leads to Lower Hospital Infection Rates

Hospitals with board-certified infection prevention and control directors have significantly lower rates of bloodstream infections (BSI) than those that are not led by a certified professional, according to a new study in the American Journal of Infection Control. Researchers from … finish reading Certification Leads to Lower Hospital Infection Rates

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Medicaid Patients Twice as Likely to be Denied PCP Access, and to Visit ER Instead

Twice as many people insured by Medicaid as by private insurance report barriers to primary care and Medicaid patients are twice as likely to visit the ED as their privately insured counterparts, according to a study published in the Annals … finish reading Medicaid Patients Twice as Likely to be Denied PCP Access, and to Visit ER Instead

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5 Benchmarks to Monitor Case Manager Productivity

Monitoring patients’ visits and no-shows are some of the ways embedded or co-located case manager productivity can be assessed, explains Robert Fortini, PNP, vice president and chief clinical officer at Bon Secours Health System. Question: What are some productivity benchmarks … finish reading 5 Benchmarks to Monitor Case Manager Productivity

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Location Matters When it Comes to Healthcare Quality and Access: Study

Location plays an important role when it comes to healthcare quality, cost, accessibility and outcomes, says a new study from the Commonwealth Fund. But these factors vary greatly not only from one community to the next, but within and across … finish reading Location Matters When it Comes to Healthcare Quality and Access: Study

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