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The reimbursement spotlight is shifting to pay-for-performance, and this year's moderators for the update in hospital medicine at Internal Medicine 2007 in San Diego discussed its impact on physicians.
https://acphospitalist.acponline.org/archives/2007/06/med-update.htm
15 Jun 2007
Adopting P4P early vs. late didn't affect hospitals' mortality rates
The observational study used Medicare claims and looked at clinical process scores and 30-day mortality in patients cared for at hospitals that voluntarily participated in pay-for-performance programs or those that later participated in the Hospital Value-Based Purchasing program.
https://acphospitalist.acponline.org/weekly/archives/2018/01/10/2.htm
10 Jan 2018
June 2007
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2007/06/
Excess days in acute care may improve performance measurement for hospitals
A study found that replacing 30-day readmission rates with a measure of excess days in acute care would change about a quarter of penalties for targeted conditions under the Hospital Readmissions Reduction Program.
https://acphospitalist.acponline.org/weekly/archives/2020/10/21/4.htm
21 Oct 2020
Hospitals with higher proportion of Black patients hit with value-based Medicare penalties
Mortality rates for myocardial infarction and pneumonia were consistently higher at hospitals that treated a high proportion of Black patients, and that didn't change after implementation of Medicare's value-based payment program, a 10-year study found.
https://acphospitalist.acponline.org/archives/2024/01/10/hospitals-with-higher-proportion-of-black-patients-hit-with-value-based-medicare-penalties.htm
10 Jan 2024
Coding change may explain half of reduction in readmissions seen under the HRRP
Either Medicare's Hospital Readmissions Reduction Program (HRRP) had no effect on readmissions or it led to a systemwide reduction in readmissions, even in conditions and hospitals not targeted by the program, according to the authors of a new study.
https://acphospitalist.acponline.org/weekly/archives/2019/01/16/1.htm
16 Jan 2019
The future is now
Revisiting 2007 predictions for hospital medicine with Robert Wachter, MD, FACP.
https://acphospitalist.acponline.org/archives/2017/01/q-and-a-wachter-future.htm
15 Jan 2017
High-intensity statins often not taken after CHD hospitalization, study finds
Patients who are hospitalized for coronary heart disease (CHD) often don't fill prescriptions for high-intensity statins after discharge, according to a new study.
https://acphospitalist.acponline.org/weekly/archives/2015/01/28/4.htm
28 Jan 2015
HCCs explained
Hierarchical condition categories (HCCs) are used by Medicare for risk adjustment.
https://acphospitalist.acponline.org/archives/2019/06/coding-corner-hccs-explained.htm
15 Jun 2019
Most Medicare demos fail to reduce costs
The Congressional Budget Office (CBO) has analyzed recent Medicare demonstration projects and concluded that most have not reduced costs, but those that did had certain specific characteristics.
https://acphospitalist.acponline.org/weekly/archives/2012/02/01/5.htm
1 Feb 2012