Hospital-based physician spending may not affect quality | Physicians say locum tenens career has benefits, drawbacks | Appointment wait time affects patient satisfaction
March 16, 2017
On the Provider Front
Hospital-based physician spending may not affect quality
Hospitalist and general internist spending levels within the same hospital did not affect 30-day mortality or readmission rates, according to a report in JAMA Internal Medicine that focused on Medicare fee-for-service data. The researchers suggested policies that target physicians, such as pay-for-performance or comparison reporting, should be developed and evaluated.
Medscape (free registration) (3/13) 
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Physicians say locum tenens career has benefits, drawbacks
Physicians say there are benefits of being a locum tenens, such as good pay and a set work schedule, as well as drawbacks, including those related to not being a permanent part of a practice or other health care organization. Family physician William Cushing, M.D., said it is important for physicians to protect their own interests because a locum firm works to meet the needs of the practice, not the physician.
Medscape (free registration) (3/8) 
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Insurance Front
Survey: Many small firms have no written disaster-recovery plan
More than two-thirds of small-business owners lack a written plan for disaster recovery, according to a survey by Nationwide Mutual Insurance. The survey also found that 71% of small-business owners have no business-interruption insurance.
PropertyCasualty360 (3/14) 
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HIT Developments
ECRI releases list of top 10 patient safety concerns in health care
EHR information management, unrecognized patient deterioration, and clinical decision support implementation and use are among the top patient safety concerns cited by health care organizations, according to an ECRI Institute report. The list also includes patient identification, inadequate organization systems or processes to improve safety and quality, and behavioral health issues in nonbehavioral health settings.
HealthLeaders Media (3/13) 
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Trends in Health Care
CBO predicts substantial loss of coverage under GOP proposal
The Congressional Budget Office released its analysis of the proposed American Health Care Act, estimating 5 million Americans would lose Medicaid coverage and 6 million people would lose individual coverage by 2018, with a total 24 million people added to the ranks of the uninsured by 2026. The report predicts the bill would lead to a $337 billion decrease in the deficit over 10 years and an $880 billion decline in federal Medicaid spending over the next decade.
Kaiser Health News (3/13),  The Hill (3/13),  CNN (3/14) 
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Medical groups oppose ACA replacement bill
The American Academy of Pediatrics, the American Hospital Association and the American Medical Association have sent letters to Congress expressing their opposition to the Republicans' proposed replacement for the Affordable Care Act. The AMA said it opposes the bill because of the "expected decline in health insurance coverage and the potential harm it would cause to vulnerable patient populations."
ABC News (3/9),  National Public Radio (3/9),  Business Insider (3/9) 
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Aon News
Infographic: How to Address the Rising Cost of Health Care
Globally, health care costs are rising for individuals and employers. Due to a combination of ageing populations, declining health, poor lifestyle choices, cost shifting from social programs and increased utilization of employer-sponsored health insurance plans, health care costs are rising worldwide at rate far higher than the average rate of inflation. View infographic.
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Aon Business Continuity Management Trending Index
Aon has recently launched the 2016 Business Continuity Management Trending Index in partnership with BC Management Inc. This market-leading survey tool is designed to enable risk and business continuity leaders to self-assess the effectiveness and maturity of their organization's business continuity management approach. This complimentary survey takes approximately 25 minutes to complete, and participants have the opportunity to engage with Aon consultants for a 30-minute debrief to review their results. We encourage all risk professionals who are actively involved in their organization's BCM and emergency response initiatives to participate.
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