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Healthcare Market-Level and Hospital-Level Disparities in Access to and Utilization of High-Quality Hip and Knee Replacement Hospitals Among Medicare Beneficiaries
This study aimed to determine whether healthcare markets with higher social vulnerability have lower access to high-quality hip and knee replacement hospitals and whether hospitals that serve a higher percentage of low-income patients are less likely to be designated as high-quality.METHODS: This cross-sectional study used 2021 Centers for Medicare and Medicaid Services outcome measures and 2022 Joint Commission (JC) process-of-care measures to identify hospitals performing high-quality hip and knee replacement. A total of 2,682 hospitals and 304 healthcare markets were included. For the market-level analysis, we assessed ...
Source: The Journal of the American Academy of Orthopaedic Surgeons - August 6, 2023 Category: Orthopaedics Authors: D August Oddleifson Xiao Xu Daniel Wiznia David Gibson Erica S Spatz Nihar R Desai Source Type: research

PCP Shortage Affects Hospitalists; What are the Options?
With worsening doctor shortages expected in many areas of medicine, including hospital medicine, the expected shortfall in primary care doctors is particularly sobering. A 2021 report from the Association of American Medical Colleges (AAMC) estimated that by 2034 the U.S. will have a shortage of between 18,000 and 48,000 primary care physicians (PCPs), with a shortage of non-primary care specialists between 21,000 and 77,000.1 Dr. Kaufmann Lisa Kaufmann, MD, is the medical director of the Appalachian Regional Healthcare System hospitalist program and clinical inpatient faculty at the Mountain Area Health Education Center...
Source: The Hospitalist - August 1, 2023 Category: Hospital Management Authors: Ronda Whitaker Tags: Career Practice Management Source Type: research

Concurrent validation of the Inpatient Rehabilitation Facility Patient Assessment Instrument Version 1.4 Sections GG, B and C
To validate Section GG (Self-Care and Mobility Assessment), B (Hearing, Speech, and Vision) and C (Cognitive Patterns) of the Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility Patient Assessment Instrument (CMS-IRF PAI) Version 1.4 in comparison to Functional Independence Measure (FIM) Motor and Cognitive Subscales. (Source: Archives of Physical Medicine and Rehabilitation)
Source: Archives of Physical Medicine and Rehabilitation - August 1, 2023 Category: Rehabilitation Authors: Erin Harmon, Matthew B. Sonagere Tags: Original Research Source Type: research

CMS Proposes Reimbursement Cuts for CY24
On July 13, the Centers for Medicare and Medicaid Services released the CY 2024 Medicare Physician Fee Schedule Notice of Proposed Rulemaking. This annual rule outlines policies related to provider reimbursement, coverage of telehealth services, review of specific codes, refinement of evaluation and management codes and updates to the Quality Payment Program. (Source: The Rheumatologist)
Source: The Rheumatologist - July 25, 2023 Category: Rheumatology Authors: From the College Tags: Legislation & Advocacy ACR advocacy efforts Medicare Physician Fee Schedule (MPFS) Medicare reimbursement rate telehealth Source Type: research

The Effectiveness of Collaborative Care in Publicly Insured Populations
This study examines benchmark data from a behavioral health medical group embedded within primary care practices across the United States using a large dataset of patients treated in collaborative care. The study explores the effectiveness of collaborative care in reducing depression and anxiety symptoms by comparing Medicare, Medicaid, and privately insured populations, seeking to inform the importance of supporting advocacy for continued Medicaid fee adoption for collaborative care.PMID:37464532 | DOI:10.1353/hpu.2023.0042 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - July 19, 2023 Category: International Medicine & Public Health Authors: Eun Kyung Lee Ohshue Gatanaga Chrisann Newransky Virna Little Alissa Mallow Source Type: research