(Excerpts from a presentation by Seth Edwards, Premier, Inc. at the iProtean Symposium, March 2017) Helpful Acronyms and Definitions: MACRA: Medicare Access and Chip Reauthorization Act of 2015 QPP: Quality Payment Program—basically, a regulation that enacts the MACRA legislation MIPS: Merit-based Incentive Payment system—one of two tracks created under MACRA for clinicians to participate […]
A study in Health Affairs’ April issue found that hospitals might experience larger-than expected Medicare payment cuts under the Medicare Access and CHIP Reauthorization Act (MACRA). The report’s authors estimated that “MACRA will decrease Medicare spending on physician services by −$35 to −$106 billion (−2.3 percent to −7.1 percent) and change spending on hospital services by $32 […]
A major rating agency expects enrollment declines in the health exchange marketplaces created by the Affordable Care Act (ACA), thus increasing the level of uncompensated care for hospitals in 2018. Fitch Rating announced its prediction several days after the American Health Care Act (AHCA) was pulled from a planned March 24 vote in the U.S. […]
The administration has proposed an 18 percent cut in the FY 2018 budget for the Department of Health and Human Services (HHS). Analysts have evaluated these proposed cuts for their impact on healthcare providers. Proposed Increases (Good News) $70 million increase in the FY18 budget for the Health Care Fraud and Abuse […]
Note: iProtean’s newsletter/blog will not be published next week because of iProtean’s symposium Last week, Republicans presented initial legislation as a redo of the Affordable Care Act (ACA), calling it the American Health Care Act (ACHA). A summary of the changes appears below, courtesy of the American Health Lawyers Association. Phase out of […]
Republican plans to repeal and replace the Affordable Care Act (ACA) with their own design have put healthcare CEOs in a state of “high anxiety,” according to a recent survey conducted by Modern Healthcare. The first-quarter survey of Modern Healthcare’s CEO Power Panel received 81 responses from 110 of the CEOs contacted. It also […]
Some provisions of Medicare’s first mandatory bundled payment model, Comprehensive Care for Joint Replacement (CJR), were recently delayed from February 18 to March 21, but new mandatory models still will launch in July, according to federal officials. The delay did not affect the CJR expansion model—the Surgical Hip and Femur Fracture Treatment (SHFFT) model—or […]
Healthcare spending increases slowed down in 2016. However, federal actuaries predict spending to increase at a faster rate in the coming years. Here is a quick summary of spending increases in the last three years: 2014—5.5 percent 2015—5.5 percent 2016—4.8 percent Spending increases are expected to accelerate to 5.4 percent in 2017 and […]
The Healthcare Financial Management Association (HFMA) released an assessment of possible and/or upcoming policy changes under the new administration. We have been waiting for HFMA to speak on ramifications to the non-insurance side of the Affordable Care Act (ACA), so we welcome the report and provide a portion of it here. The new secretaries […]
Modern Healthcare recently released a report on “cyberdefense,” and because this is a timely topic of interest to our subscribers, we present excerpts from the report below. A link to the full article appears at the end of this blog/newsletter. “Cybersecurity platforms that employ advanced technologies like artificial intelligence, machine learning and predictive analytics […]