Month: November 2020

Dive Brief: CMS is expanding the ability of hospitals to treat their acute care patients at home ahead of an expected surge in COVID-19 hospitalization following the Thanksgiving holiday, when many Americans ignored public health advice against gatherings. The guidance released last week also tweaks earlier changes allowing ambulatory surgical centers to provide greater inpatient
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2020 marks the 50th anniversary of a report that had a profound effect on health care in the U.S. – the AHA’s Report of the Special Committee on the Provision of Health Services. The report, better known as “Ameriplan,” served as the AHA’s first broad look at overall health care coverage, financing and delivery in
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COVID-19 has amounted to a worldwide earthquake in 2020, rattling our normal expectations of life in everything from health care to education to the economy, and much more. And it’s not over yet. While no one can say for sure what the next year will bring, hospital and health system leaders realize they must plan
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As urged by the AHA, the Centers for Medicare & Medicaid Services today gave hospitals facing a surge in COVID-19 patients expanded flexibility to care for Medicare patients outside their walls. The Acute Hospital Care At Home program expands on the successful Hospital Without Walls program authorized in March to support additional models proven to
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The Centers for Medicare & Medicaid Services has assigned Medicare Severity-Diagnosis-Related Groups to six new ICD-10 diagnosis codes for reporting conditions related to COVID-19 on medical claims effective Jan. 1. The codes are for pneumonia due to COVID-19; multisystem inflammatory syndrome; other systemic involvement of connective tissue; COVID-19 screening; suspected exposure to COVID-19; and personal
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Over the next several months, the National Institute of Allergy and Infectious Diseases expects to enroll up to 1,500 adult COVID-19 hospital patients who require supplemental oxygen in a global clinical trial that aims to determine whether baricitinib or dexamethasone is more effective at preventing mechanical ventilation or death when administered with remdesivir. One group
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In a study of 156 front-line hospital workers who tested positive for COVID-19 antibodies, 94% had lower antibody levels 60 days later, including 28% whose antibodies fell below the threshold for a positive test result, the Centers for Disease Control and Prevention reported today. Participants with higher initial antibody responses were more likely to have
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The Centers for Medicare & Medicaid Services yesterday issued a final rule amending the Department of Health and Human Services’ Risk Adjustment Data Validation program, which validates the data that health insurers submit to HHS to determine risk adjustments based on the individuals they enroll. The rule amends the program’s error rate methodology and applies
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As U.S. healthcare systems brace for record-setting weeks of COVID-19 cases to potentially reach new heights following Thanksgiving gatherings, additional hospitals have opted to place new restrictions on non-emergency surgeries. By the end of last week, many hospitals — from Cleveland Clinic, to Mayo Clinic facilities in Wisconsin and Minnesota, to Advocate Aurora Health in Illinois, to
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Parkland Hospital & Health System uses social determinants of health data to guide its efforts to reduce incidents of breast cancer in women who are economically vulnerable and experience challenges accessing care. For example, data from its electronic medical records and community health needs assessments led the Dallas-based health system to revamp its outreach campaigns
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More than 2.3 million people selected a 2021 health plan through HealthCare.gov Nov. 1-21, including nearly 760,000 last week, the Centers for Medicare & Medicaid Services today announced. About 75% were renewing coverage and the rest were new consumers. Thirty-six states are using HealthCare.gov for 2021 open enrollment, which runs through Dec.15. CMS plans to
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