MACRA and What It Means

(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 […]

MACRA and Medicare: Hospitals May Experience Large Payment Cuts

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 […]

Summary and Reaction to American Health Care Act Bill

Note: iProtean’s newsletter/blog will not be published next week because of iProtean’s symposium   Last week, Republicans presented initial legislation as a redo of the Affordable Care Act (ACA), calling it the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 […]

Majority of CEOs Want to Keep Major Provisions of ACA in Place

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 […]

Mandatory Bundled Payments Will Launch in July, Officials Say

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 […]

Health Spending Growth Expected to Accelerate

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 […]

Financial Experts Assess Upcoming Changes to Health Policy

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 […]

An Update on Cybersecurity

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 […]