US hospital systems are tracking data and looking for ways to improve quality of care and patient outcomes, reduce readmissions, and save money, said Jean Chenoweth of Truven Health Analytics, which released this year's 15 Top Health Systems along with IBM Watson Health. She says the trend shows value-based reimbursements are taking hold.
Nineteen states are home to micro-hospitals, which typically range from 15,000 to 50,000 square feet with eight to ten hospital beds for short stays and a suite of services tailored to the needs of the local community. Advantages include shorter wait times, shorter stays and improved access to some care, but critics warn that the facilities may lack certain diagnostic or treatment capabilities and offer fewer opportunities for doctors to become proficient at less common procedures.
Risk-related expenses declined 5% last year, driven partly by a 12% drop for property-casualty coverage, according to a study by the Risk and Insurance Management Society. A 6% decline for workers' compensation and a 5% drop for liability also contributed to the expense decrease, while costs to cover fidelity, surety and crime losses increased.
SERMO surveyed 3,086 physicians from 26 countries and found that 46% have witnessed an EMR/EHR outage or malfunction that endangered a patient's health or safety. Fifty-five percent of physicians in the US said they experienced such an incident, followed by 46% -- the global average -- in Canada and the UK and 39% in France.
Several states, including Alaska, Idaho, Maine, Minnesota and Oklahoma, are instituting or considering reinsurance programs to help health insurers deal with the sickest patients and keep their rates low. The federal government supports such efforts and has encouraged other states to submit proposals for reinsurance or other options to help keep down insurance costs.
Eligible clinicians participating in the Merit-based Incentive Payment System this year can get more information about MIPS reporting through three resources issued by the CMS. They include the MIPS improvement activities factsheet, which offers a better understanding of the MIPS clinical improvement activities performance category requirements; the MIPS 2017 qualified registries, which provide a list of CMS-approved qualified registries; and the MIPS participation factsheet, which presents an overview of which entities are expected to participate and what participation means.
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