Search Tag: medicare

Executive Health Management

Some Hospitals Marking Up Prices More Than 1,000%

2015 12 Jun

A study published in Health Affairs lists the 50 hospitals in the United States that mark up treatments by more than 10 times the costs allowed by Medicare — a markup of more than 1,000 percent for the same medical services.   The findings show that the combination of a lack of regulation of hospital charges in the U.S. and no market competition is... Read more

Executive Health Management

Hospital Productivity Improving

2015 31 May

A new study by University of Southern California economists shows that hospital productivity growth — the increase in output produced from inputs such as labour and capital — has actually improved in recent years. The finding suggests that U.S. hospitals may actually be able to deliver on the assumption in the Patient Protection and Affordable... Read more

Executive Health Management

ACO Model Shows Smaller Medicare Spending Growth

2015 04 May

The Pioneer Accountable Care Organisation (ACO) Model has helped curb increases in total Medicare expenditures of ACO-aligned beneficiaries, resulting in savings of about $385 million in its first two years of implementation, according to a study published online in JAMA . The Pioneer ACO Model was launched by the Centers for Medicare & Medicaid... Read more

IT Management

Xerox System Helps Hospitals Better Predict Readmissions

2015 28 Jan

Midas+, a subsidiary of Connecticut-based Xerox, is combining its vast data resources with five years of Medicare and claims data to help hospitals better predict readmissions. With this new system, known as Midas+ Readmission Penalty Forecaster, a hospital can get a much more accurate prediction or “near real-time” information on both patient patterns... Read more

Executive Health Management

High-Earning MDs: Fewer Patients, More Procedures

2014 12 Dec

A UCLA study has shown for the first time that higher-earning physicians make more money by ordering more procedures and services per patient, rather than by seeing more patients. This "very surprising" finding may not be in the best interest of patients, according to a research letter published in the journal JAMA Internal Medicine . Researchers... Read more

IMAGING Management

Medicare To Cover Low-Dose CT Screening for Lung Cancer

2014 13 Nov

The Centers for Medicare and Medicaid Services (CMS) announced this week its proposal for low-dose computed tomography (CT) scans to become a covered service in the screening of high-risk patients for lung cancer. Patients must be between the ages of 55 and 74, and be a current smoker or one who quit within the past 15 years. They must have smoked... Read more

Executive Health Management

Hospice Positively Impacts Medicare Hospitalisations and Spending

2014 11 Nov

A study published in the 12 November issue of JAMA reports that hospice care for Medicare patients who are terminally ill with cancer is associated with fewer intensive care unit (ICU) admissions, lower rates of hospitalisation and invasive procedures, and significant reductions in medical expenditures during a patient’s final year of life.... Read more

Executive Health Management

Hospital 'For-Profit' Conversion: No Impact on Quality of Care

2014 22 Oct

US hospitals that converted from nonprofit to for-profit status in the 2000s subsequently enjoyed better financial health, but their conversion made no difference in the quality of care provided or mortality rates, according to researchers from the Harvard School of Public Health, Boston, MA. Their study examined characteristics of US acute care hospitals... Read more

Executive Health Management

Blood Tests: From $10 to $10,169

2014 18 Aug

Recent research published in BMJ Open shows that there are significant price differences for ten common blood tests in California hospitals. While some patients were charged as little as $10 for one test, there were others that were charged $10,169 for the same test. More than 150 hospitals in California were analysed and tests such as lipid panel,... Read more

Executive Health Management

CMS: Open Payments System Back Online

2014 17 Aug

The Centers for Medicare & Medicaid Services (CMS) has announced that Medicare's Open Payments system is now back online following a two-week stoppage to rectify some erroneous information concerning what a particular doctor received from healthcare manufacturers. Under the US Affordable Care Act, also known as the Sunshine Act, drug and device makers... Read more