Hospital Data

medicaid
Can a Medicaid Admission be Profitable?

Medicaid reimbursement has traditionally been something of a bitter pill for healthcare providers, especially acute-care hospitals. Medicaid rates vary across states and locations, but the average figure is usually said to be only about 60 percent of Medicare or private insurer rates, depending on the service. That rarely covers the…

quality of care
Value-Based Purchasing: A Bad Deal for Safety-Net Hospitals?

Hospitals are facing more pressure to improve outcomes and deliver better care than ever before. In addition to the spread of performance-based reimbursement agreements, acute-care providers are also subject to regulatory programs, such as the value-based purchasing (VBP) and readmissions reduction programs, which penalize facilities with low quality scores. Since…

Risk-Sharing-101-Graphic
Instituting True Risk-Based Payments

Guest post by Mark Marten of HealthCare Information Management, Inc In a time where many in this nation are confused about the direction of health care, we look toward the future. Regardless of the design one thing is clear, we need more accountability in health care. There still isn’t a clear…

certificate-of-need
Why do Some States Still Require Certificates of Need?

When it comes to state-level healthcare policy, possibly the longest-running and most controversial issues is the certificate of need (CON) process. CON laws are intended to reduce overutilization, duplication of services, and other wasteful capital spending that can drive up health costs. First mandated by the federal government in 1974,…

hospital-quality-of-care
Sociological Needs May Hold Key to Cutting Costs, Readmissions

CMS recently identified the 32 participants in its Accountable Health Communities Model, a five-year program designed to test the effectiveness of managing non-clinical health determinants of Medicare and Medicaid populations in order to improve outcomes and lower costs. The model is based upon the theory that social factors like stable…

Hospital Construction
The Hidden, Growing Problem of Physician Burnout

The current political climate has generated a lot of uncertainty regarding future healthcare developments, but the debate over national policy can sometimes overshadow issues affecting the frontlines of patient care. One growing problem is physician burnout, manifesting itself in a lack of enthusiasm for work, growing cynicism about patients or…

Hospital_quality_measures
Are Today’s Providers Overwhelmed by Quality Reporting?

In today’s healthcare delivery environment, few concerns are as important to providers, payers, and consumers as quality. Quality scores can drive patients towards or away from hospitals and doctors, determine reimbursement rates, and subject organizations to a wide range of government incentives or penalties. Most would agree that quality measurements…

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