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Month: August 2018

Measure Healthcare Equity to Improve Quality: Health Affairs Study

Measure Healthcare Equity to Improve Quality: Health Affairs Study

August 29, 2018 Healthcare has experienced a meteoric rise in the use of quality measures to determine payment through the Hospital Value-Based Purchasing Program (HVBP), the Merit-Based Incentive Payment System (MIPS) and other programs.  An article in Health Affairs argues that what are missing from these programs are measures and payment incentives tied to one of healthcare quality’s most fundamental drivers—the promotion of health equity and the reduction of healthcare disparities across vulnerable and underserved demographic and socioeconomic groups. Few value-based programs directly…

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AHA Outlines Strategies to Stem Medicare Appeals Backlog

AHA Outlines Strategies to Stem Medicare Appeals Backlog

August 15, 2018 As of June 2017, the Medicare appeals backlog stood at an astonishing 607,402 pending cases at the administrative law judge level.  Estimates indicate that it will soar to 950,520 cases by the end of the 2021 fiscal year. To help tackle the overwhelming glut of appeals, a federal judge asked the American Hospital Association (AHA) this past April to provide recommendations to the Department of Health and Human Services (HHS) on ways to address this significant and growing problem….

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