Healthcare Data

Managing Patient Care Big Data
How to Leverage Big Data for Patient Care Management

The healthcare industry is in the midst of a rapid structural evolution, with a growing emphasis on “big data” gathering and utilization. The Centers for Medicare and Medicaid Services (CMS) is a primary catalyst in promoting many of these changes, specifically regarding quality and clinical data reporting. Though many CMS…

beta blocker prescription pattern
The Most Effective Application of Beta Blockers

Beta-adrenergic blocking agents, more commonly referred to as beta blockers, are a category of medications that can lower blood pressure and reduce the risk of multiple heart attacks. Beta blockers work by impeding the effects of adrenaline on the heart. This slows the patient’s heartbeat, reducing the amount of force…

CMS 340B drug discount program
New 340B Guidelines Target Program Abuses

The Centers for Medicare and Medicaid Services (CMS) announced changes to its 340B Drug Discount Program, effective January 1, 2018. The primary difference in the program is that drug payments to participating hospitals will be cut. Under the original plan, CMS reimbursed hospitals at the average drug cost plus 6…

Assisted Living Facilities
Definitive Healthcare Adds Retail Clinics and Assisted Living Facilities to its Coverage of Healthcare Providers

Definitive Healthcare continues to expand its provider database to cover virtually all healthcare facilities Framingham, MA – October 25, 2017 – Definitive Healthcare, the leading provider of data, intelligence, and analytics on the healthcare provider market, recently added more than 2,400 retail health clinics and 38,000 assisted living facilities to…

hospital outpatient procedures
Top 10 Hospices by Total Medicare Payments

Hospice care, unlike other varieties of long-term care, does not aim to cure a patient’s terminal illness. Caregivers instead focus on providing support for patients while treating their daily symptoms. Hospice services are primarily provided in a patient’s home, but can also be available in hospitals, nursing homes, and hospice…

Physician Groups
Are Independent Physician Groups Viable in the Long Run?

Physician groups and independent practices face unique difficulties as healthcare providers. Shifting state and federal guidelines, particularly regarding Medicare reimbursement, offer greater rewards to diversified care systems that can take on financial risk and refer patients to specialists within their own network. Practices with only a handful of physicians—or solo…

Mergers and Acquisitions
Do Some Nonprofit Hospitals Deserve Their Status?

The vast majority of hospital care in the U.S. has historically been delivered by nonprofit organizations, which benefit from a wide array of federal, state, and local tax exemptions. In recent years, however, the charitable status of some hospitals and health systems has been called into question. Tighter operating margins…

Disruptive Technology
What Disruptive Innovation Means for Healthcare Delivery

Disruptive innovation has been a source of growth and trepidation in the healthcare industry. The widespread adoption of EHR systems and first implementations of telemedicine have industry leaders questioning their roles in the future of healthcare—but not all disruptors are technological. There has been a monumental shift in the focus…

skilled nursing facility
Skilled Nursing Facility Reimbursement: Trouble Ahead?

The American Hospital Association (AHA) is urging CMS to implement an alternate Medicare reimbursement model for skilled nursing facilities (SNFs) before a new clinical groupings model is in place. The current model of Resource Utilization Groups (RUGS) has been criticized as incentivizing the overutilization of resources, as well as demanding…

Hospital ER wait times
How Hospital ERs are Slashing Wait Times

At New York-Presbyterian/Weill Cornell Medical Center (NYPWC), ER wait times were up to two and a half hours for low-acuity patients. Longer wait times in hospital ERs contribute to overcrowding and delays in medication administration for patients with mid-level injuries and illnesses like broken bones and infections. Patient mortality rate…

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