Practice Management
Health system administrators and fans of the Affordable Care Act (ACA, or “Obamacare”) have been lauding the fact that employment in the healthcare industry has been climbing since the ACA was implemented. While that may be factually correct in terms of overall numbers, it is also true that health systems have been cutting jobs strategically in order to cut payroll expenses. Not too long ago, Becker’s Hospital Review identified 48 layoffs that have taken place …
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Medicaid recipients who go to Tennessee emergency rooms with nonemergent complaints cost the state nearly $85 million a year, according to a report published online by WATE television in Knoxville. The data show federally and state-funded nonemergent ED visits drove up costs 25% in 2016 compared with the previous year. Some of the most common complaints that could have been treated in a lower-acuity (and less costly) setting like urgent care included acute upper respiratory …
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Rancor over how—or even whether—to replace the Affordable Care Act (ACA, or “Obamacare”) doesn’t stop everyday people from needing good, immediate care they can afford. Urgent care often fits the bill, but even that may not be convenient enough for some patients; a new study from the Health Resources and Services Association (HRSA) shows that 20% of Americans live in rural areas—where only 11% of physicians practice. In such situations, telemedicine could be the best …
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It isn’t news that patients sometimes receive bills that seem out of proportion to the care they received in an emergency setting (especially a freestanding emergency rooms)—and that the media and state legislatures have taken notice. A new statewide survey in New Mexico reveals that nearly a third of patients say they received large “surprise bills” after seeing clinicians outside their insurer’s network. In addition, data from the Consumer Federation of America and the North …
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The 40th annual report on the state of the health of Americans from the Centers for Disease Control and Prevention provides insights on the impact of changes in the healthcare landscape, including the years that saw urgent care grow from the “doc in a box” (in the public’s perception, anyway) to the sophisticated, integral part of the healthcare system that it is recognized as today. The CDC’s Health, United States, 2016 reports on long-term trends …
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Urgent care operator American Family Care (AFC) has inked an investment deal worth $1 billion with the private equity and real estate firm American Development Partners. The funds will be put to work expanding AFC’s presence around the country, with the expectation that 300 more franchises will open under the AFC banner (currently, there are 170). AFC is quick to note that the company will not change hands, and that it will continue to invest …
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We all know emergency room waiting areas are choked with patients who could be treated just as well—and in less time for less money—in an urgent care center. That makes it all the more difficult for patients who really need to be there to be seen in a reasonable amount of time. Now Thomas Health System in Charleston, WV, thinks it has found a way to make people think twice about heading to the ED …
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We told you recently that the Centers for Medicare and Medicaid Services lowered the threshold for physicians to be exempt from MACRA’s reporting requirements in 2018. It’s a good thing, too: 75% of physicians involved in practice decision-making say they do not feel well prepared to participate in MACRA’s Quality Payment Program (QPP). The data were just released by the American Medical Association and KPMG. The QPP pushes eligible providers to choose between the Advanced Alternative …
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Protecting patients against the suspect billing practices—especially “surprise billing”—of freestanding emergency rooms seems to be a high priority in the Texas legislature. Most recently, a bill that offers patients more ways to contest bills was signed into law; Senate Bill 507 expands the use of mediation to contest surprise medical bills. This problem is perceived as especially great in Texas, which is home to more than half of the freestanding ERs in the country. Further, …
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The Centers for Medicare and Medicaid Services (CMS) may have doled out more than $729 million in incentive payments for use of electronic health record systems that didn’t actually comply with federal standards, according to the Office of the Inspector General (OIG) at Health and Human Services. The OIG has already uncovered instances where providers who received payments could not document that they were using electronic health records in “meaningful” ways—a key requirement to reap …
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