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-quality-of-care
How Hospitals are Solving the Patient Experience Problem

Patient experience has taken on greater importance in recent years as part of an overall effort to reform healthcare delivery. In addition to the launch of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), which affects hospital reimbursement levels under CMS’ Value-Based Purchasing program, patients have made increasing…

Hospital Quality Measures
HAIs: Hospitals Struggle to Make Consistent Progress

The Department of Health and Human Services released a report highlighting recent improvements in hospital care quality, specifically lower rates of hospital-acquired conditions (HACs). According to the Agency for Healthcare Research and Quality, HACs declined by 21 percent from 2010 to 2015, representing an estimated 125,000 patient deaths averted and…

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