Verma urges hospitals to embrace value-based care | Hospice use could grow with value-based care model | Study suggests new format for Hospital Compare ratings
September 11, 2019
Accountable Care SmartBrief
Accountable Care Spotlight
Verma urges hospitals to embrace value-based care
CMS Administrator Seema Verma urged hospitals to embrace the move toward transparency and value-based care, arguing that the alternative is living with lower fee-for-service revenues and increased government involvement in health care. Verma said anger over unexpected medical bills and high health care costs is feeding support for proposals such as Medicare for All and a public health insurance option, changes that she said will hurt hospitals.
Modern Healthcare (tiered subscription model) (9/10) 
LinkedIn Twitter Facebook Email
Hospice use could grow with value-based care model
Payers, providers and other stakeholders are promoting advance care planning through value-based care models, which could lead to greater use of hospice care. "Advance care planning makes clear the patient's wishes and values for end-of-life care; patients want clinicians to listen and explain things to them and when clinicians explain care and are transparent, patients are happier," said VITAS Healthcare Vice President Brandon Stock.
Hospice News (9/9) 
LinkedIn Twitter Facebook Email
Insight into Health Care Quality
Study suggests new format for Hospital Compare ratings
A study in Health Affairs said the structure of the CMS Hospital Compare star ratings system, which lumps all hospitals together, may "mislead patients, providers and payers about where to seek high-quality care." Researchers suggested that CMS put hospitals into groups based on the number, volume and variety of quality measures reported, finding that groups with more extensive reporting tended to have lower ratings than those that reported fewer quality measures.
Healthcare Dive (9/5) 
LinkedIn Twitter Facebook Email
US could experience nearly 122K physician shortage by 2032
US could experience nearly 122K physician shortage by 2032
The US could face a shortage of 46,900 to 121,900 physicians by 2032 affecting primary and specialty care as the country's population ages, according to projections from the Association of American Medical Colleges. "We know older patients use two to three times as many medical services as younger patients, and the number of people over age 65 will increase by almost 50%, just in the next 10 to 15 years alone," said AAMC Executive Vice President Atul Grover. Meanwhile, one-third of actively practicing US physicians will pass age 65 in the next 10 years.
CNBC (9/6) 
LinkedIn Twitter Facebook Email
The Technology Component
Hospital uses technology to improve patient experience
George Washington University Hospital CEO Kimberly Russo says the hospital has improved the patient experience through technology, such as the NicView camera system in the neonatal intensive care unit, which allows families to see infants 24/7. Russo said the hospital is working to ensure that health care is accessible and equitable and that patients get the appropriate care in the right setting at the right time.
Becker's Hospital Review (9/10) 
LinkedIn Twitter Facebook Email
AMA: New billing codes for telehealth will help break down barriers to care
The American Medical Association created six billing codes for remote patient evaluation services in which health care providers connect with patients at home, three codes for patient-initiated digital communication with a health care provider and three more for communications with a non-physician health care professional. The new codes "will promote the integration of these home-based services that can be a significant part of a digital solution for expanding access to health care, preventing and managing chronic disease, and overcoming geographic and socioeconomic barriers to care," AMA President Patrice A. Harris, MD, said in a statement.
mHealth Intelligence (9/9) 
LinkedIn Twitter Facebook Email
Some turn to VR headsets to manage pain of labor
Some doctors are suggesting virtual reality headsets for those in labor to help reduce pain, often with guided meditation and pleasant scenes. An ongoing study of 40 patients at Cedars-Sinai Medical Center in Los Angeles is testing whether VR can help with sustained pain management during labor.
CNN (9/8) 
LinkedIn Twitter Facebook Email
Population Health and Patients
US suicide rates on the rise, and rural areas are hit hardest
Suicide rates climbed 41% across the US from 1999 to 2016, and rural areas were hit harder than metropolitan areas, according to a study in JAMA Network Open. A county-by-county analysis showed lack of mental health professionals, lower levels of social capital, increased social fragmentation and deprivation -- which involves poverty, lack of education and low employment -- were some of the factors driving higher suicide rates in rural areas, researchers said.
HealthDay News (9/6) 
LinkedIn Twitter Facebook Email
Research: No gains seen in diabetes control targets since 2005
A study in JAMA Internal Medicine showed that less than 1 in 4 US adult patients with diabetes had controlled levels of their blood glucose, cholesterol and blood pressure and did not smoke from 2005 to 2016, with those who were female, nonwhite and ages 18 to 44 less likely to achieve these composite targets, compared with insured patients who were most likely to achieve treatment targets. Findings revealed that "despite major advances in diabetes drug discovery and movement to develop innovative care delivery models over the past two decades, achievement of diabetes care targets has not improved" in the US since 2005, said study lead author Pooyan Kazemian.
HealthDay News (9/6) 
LinkedIn Twitter Facebook Email
Health Insurance and Accountable Care Provider Company News
Solutions Provider News
Calder Lynch at AHIP’s Medicaid Conf.
What's ahead for Medicaid? Hear what you need to know right now. Don't miss CMS Acting Deputy Administrator and Director Calder Lynch's keynote during AHIP's National Conference on Medicaid, Sept. 25 through 26 in D.C. Register today.
At #AHIPMMD, let's tackle health care's biggest challenges
At AHIP's National Conferences on Medicare, Medicaid & Dual Eligibles, you'll participate in deep discussions about the policy, regulatory, and operational issues impacting our nation's government health care programs. You'll take home solutions for improving access, streamlining care delivery, containing costs, and more. Register today for Sept. 23 through 26 in D.C.
LinkedIn Twitter Facebook Email
Watch: How insurers are combating the opioid crisis
America must resolve the opioid crisis. Health insurance providers are working closely with doctors and nurses on the safest, most proven, and most effective ways to manage pain. In this video, Matt Eyles, AHIP CEO explains how insurance providers are reducing use and helping those struggling with addiction get the treatment they need.
LinkedIn Twitter Facebook Email
Learn more about AHIP:
About AHIP | Join AHIP | Educational Opportunities | AHIP Select
AHIP Coverage Blog | Submit press releases and other company news
powered by
Account Manager
Managed Care Analyst
Advocacy and Policy Writing Specialist, Federal Affairs
AHIP - Washington, DC, US
Senior Communications Consultant-Medicare Advantage
Executive Director, Medicare Policy
AHIP - Washington, DC, US
Everybody has to know for themselves what they're capable of.
Sir Daniel Day-Lewis,
LinkedIn Twitter Facebook Email
Sign Up
SmartBrief offers 200+ newsletters
Learn more about the SmartBrief audience
Subscriber Tools:
Contact Us:
Advertising  -  Deanie Griffin
Partner Relations Manager  -  Aron Lenett
Editor  -  Melissa Turner
Contributing Editor  -  Yvonne Chanatry
Mailing Address:
SmartBrief, Inc.®, 555 11th ST NW, Suite 600, Washington, DC 20004
© 1999-2019 SmartBrief, Inc.®
Privacy Policy (updated May 25, 2018) |  Legal Information