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Trump Administration Regulatory Rebalancing Favors Religious And Moral Freedom Over Contraceptive Access
On October 6, 2017, the Departments of Health and Human Services, Labor, and Treasury, released two interim final rules addressing religious and moral objections to the coverage of contraceptives under the preventive services requirement of the Affordable Care Act, as well as accommodations for those objections.
Treasury released with the interim final rules two accompanying proposed rules (here and here) apparently required for technical reasons because Treasury released temporary rules. HHS also updated the Health Resources and Services Administration women’s health guidelines to reflect the rule change. Finally, HHS a...
Source: Health Affairs Blog - October 7, 2017 Category: Health Management Authors: Timothy Jost and Katie Keith Tags: Following the ACA Insurance and Coverage Uncategorized contraceptive coverage contraceptive mandate Preventive Services Mandate Religious Freedom Restoration Act Source Type: blogs
OIG Faults CMS for Improper Payment Rates
Under the Improper Payments Information Act of 2002, as amended, the Department of Health and Human Services (HHS) is required to annually report on improper payments and meet certain improvement metrics. In a report released last fall, HHS identified approximately $96.9 billion in gross improper payments in fiscal year (FY) 2016. $90 billion of this money were found to be overpayments.
On May 16, 2017, the HHS Office of Inspector General (OIG) released a report examining these improper payments to determine HHS’s compliance with the statute. In violation of the statute, the improper payment rates for both...
Source: Policy and Medicine - October 25, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs
What is the Difference Between a Nursing Home and an Assisted Living Facility?
How is a nursing home different from an assisted living? What in the world is “Memory Care Facility”? How can I figure out which is best for my loved one? How are they different?By Rita JablonskiAlzheimer's Reading RoomFamilies who are searching for the optimal place for their loved ones with dementia now have an almost overwhelming set of choices.Assisted living facilities are generally described as congregate residential settings that provide 24-hour supervision, at least 2 meals daily, and an array of personal and health-related services.6 Reasons Why You Might Have to Put Someone with Dementia in a Memory Care Faci...
Source: Alzheimer's Reading Room, The - October 25, 2017 Category: Neurology Authors: rtdemarco at gmail.com Tags: alzheimer care assisted living care homes for elderly with dementia care of dementia patients dementia care memory care facility nursing home Source Type: blogs
Labor ’s Share of GDP: Wrong Answers to a Wrong Question
A recent paper by David Autor of MIT, Lawrence Katz of Harvard and others, “The Fall of the Labor Share and the Rise of Superstar Firms, ” begins by posing a mystery: “The fall of labor’s share of GDP in the United States and many other countries in recent decades is well documented but its causes remain uncertain.” They construct a model to blame it on U.S. businesses that are too successful with consumers. Five broad industries, they found, became more dominated by fewer firms between 1982 and 2012: retailing, finance, wholesaling, manufacturing and services. But those aren ’t industries at all, much less...
Source: Cato-at-liberty - October 26, 2017 Category: American Health Authors: Alan Reynolds Source Type: blogs
A Brief History of Price Controls by Annoyed Republican Administrations
By UWE REINHARDT
Although, unlike most other nations, the U.S. has only two parties worth the name, their professed doctrines compared with their actions strikes me as more confusing than the well-known S.sky Decomposition which, as everyone knows, can be derived simply from a straightforward application of Kramer’s rule to a matrix of second partial derivatives of a multivariable demand function.
The leaders of the drug industry, for example, probably are now breaking out the champagne in the soothing belief that their aggressive pricing policies for even old drugs are safe for at least the next eight years from the al...
Source: The Health Care Blog - November 15, 2017 Category: Consumer Health News Authors: John Irvine Tags: THCB Trending Source Type: blogs
Description of a Method to Obtain Complete One Year Follow-Up in the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy Registry
We report our process to address this challenge. A multidisciplinary process involving clinical personnel, data and quality managers, and research coordinators was initiated to collect TAVI data at baseline, 30-days and 1-year. This process included: (1) planned clinical follow-up of all patients at 30-days and 1-year; (2) query of healthcare system-wide integrated data warehouse (IDW) to ascertain last date of clinical contact within the system for all patients; (3) online obituary search, cross-referencing for unique patient identifiers to determine if mortality occurred in remaining unknown patients; (4) phone calls to ...
Source: The American Journal of Cardiology - January 2, 2018 Category: Cardiology Authors: Jordan Wooley, Holly Neatherlin, Cecile Mahoney, Deborah Tabachnick, Mitta Suresh, Eleanor Huff, Sukhdeep S. Basra, J. Michael DiMaio, David L. Brown, Michael J. Mack, Elizabeth M. Holper Source Type: research
CMS announces new policy guidance for states to test community engagement for able-bodied adults
CMS today announced new guidance that will support state efforts to improve Medicaid enrollee health outcomes by incentivizing community engagement among able-bodied, working-age Medicaid beneficiaries. The policy responds to numerous state requests to test programs through Medicaid demonstration projects under which work or participation in other community engagement activities - including skills training, education, job search, volunteering or caregiving - would be a condition for Medicaid eligibility for able-bodied, working-age adults.
Source: HSR Information Central - January 11, 2018 Category: International Medicine & Public Health Source Type: news
The List Expanded: Senior Living Facilities
The Centers for Medicare& Medicaid Services developed Nursing Home Compare and the star rating system to provide consumers with an easy way to search for nursing homes and see the level and quality of care they are providing.
Source: bizjournals.com Health Care News Headlines - February 2, 2018 Category: Health Management Authors: Lucy Tuitupou Source Type: news
Description of a Method to Obtain Complete One-Year Follow-Up in the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy Registry
We report our process to address this challenge. A multidisciplinary process involving clinical personnel, data and quality managers, and research coordinators was initiated to collect TAVI data at baseline, 30 days, and 1 year. This process included (1) planned clinical follow-up of all patients at 30 days and 1 year; (2) query of health-care system-wide integrated data warehouse (IDW) to ascertain last date of clinical contact within the system for all patients; (3) online obituary search, cross-referencing for unique patient identifiers to determine if mortality occurred in remaining unknown patients; and (4) phone call...
Source: The American Journal of Cardiology - January 2, 2018 Category: Cardiology Authors: Jordan Wooley, Holly Neatherlin, Cecile Mahoney, John J. Squiers, Deborah Tabachnick, Mitta Suresh, Eleanor Huff, Sukhdeep S. Basra, J. Michael DiMaio, David L. Brown, Michael J. Mack, Elizabeth M. Holper Source Type: research
Proposed Medicare Changes to Limit Opioid Prescribing
by Chad KollasOn February 1, 2018, the Centers for Medicare& Medicaid Services (CMS)published its Advance Notice of Methodological Changes for Calendar Year 2019. Included in these proposed rules were several directives intended to reduce" Opioid Overutilization ” (see p. 202), including formal adoption of the “90 morphine milligram equivalent (MME) threshold cited in the CDC Guideline, which was developed by experts as the level that prescribers should generally avoid reaching with their patients (p. 203). ” CMS proposed “adding additional flags for high-risk beneficiaries who use ‘potentiator’ drugs (such...
Source: Pallimed: A Hospice and Palliative Medicine Blog - February 4, 2018 Category: Palliative Care Tags: CMS health policy kollas medicare opioids Source Type: blogs
Scoping review: Hospital nursing factors associated with 30 ‐day readmission rates of patients with heart failure
ConclusionsThis is the first scoping review examining the association between hospital nursing factors and 30‐day readmission rates of patients with HF. Further studies examining the extent of nursing structural and process factors influencing the outcomes of patients with heart failure are needed.This article is protected by copyright. All rights reserved.
Source: Journal of Clinical Nursing - March 1, 2018 Category: Nursing Authors: Jin Jun, Kenneth M Faulkner Tags: Discursive Paper Source Type: research
A Four Step Plan For the Value-Based Transformation of the Health Care System
By ALEX AZAR
HHS Secretary Alex Azar spoke earlier this week at the American Federation of Hospitals, giving a widely reported speech that offered new details on the Trump administration’s plans for Accountable Care Organizations, the CMS quality measurement program, and a new drive for patient access to medical records. The full text of his remarks follows. – The Editors.
It’s a pleasure to be here with all of you today. I want to thank Chip [Kahn] and all of the Federation’s members for inviting me to share our vision for HHS and America’s healthcare system, and how we hope to work with all of you to ma...
Source: The Health Care Blog - March 9, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Alex Azar Source Type: blogs
Profiling Surgeon Performance for Breast Cancer Lumpectomy by Composite Measurement of Reoperations, Cosmetic Outcomes, and Patient Preferences.
CONCLUSION: Composite measures of performance can be developed that allow patients to input their weighted preferences and values into surgeon profiling before they consider a destination of care for BCS.
PMID: 29671140 [PubMed - as supplied by publisher]
Source: Ann Oncol - April 18, 2018 Category: Cancer & Oncology Authors: Dunham AL, Ramirez LD, Vang CA, Linebarger JH, Landercasper J Tags: Ann Surg Oncol Source Type: research
Does Non-Adherence Increase Treatment Costs in Schizophrenia?
ConclusionsInference from analysis of administrative data is limited by the risk of selection bias. Inference from trials is limited by small sample sizes. The literature does not consistently support an assumption that non-adherence increases healthcare costs.
Source: PharmacoEconomics - April 26, 2018 Category: Health Management Source Type: research
