Aug 19, 2009 | Laboratory News, Laboratory Pathology
One approach is to bundle payments to hospitals, physicians, labs, and other providers
Momentum is building around a new effort to drive down existing rates of hospital readmissions. Different reimbursement proposals to encourage hospitals and physicians to reduce current readmission rates will likely also change the reimbursement status quo for laboratory testing. For example, bundling Part A and Part B payments may be one approach.
Experts increasingly believe one game changer in lowering healthcare costs and improving outcomes is avoidable hospital readmissions. One in five Medicare patients returns to the hospital within 30 days. Overall, readmissions cost Medicare an estimated $17 billion yearly. Of this total, about $12 billion are believed to be avoidable cases
(more…)
Aug 14, 2009 | Laboratory News, Laboratory Pathology
Clinical laboratories can play a role in two of these ten cost-cutting opportunities
Everyone in healthcare expects significant across-the-board cuts to reimbursement as healthcare reform moves forward. High profile targets for cost-cutting are imaging technologies and physician preference items (PPIs), which include expensive supplies and implant products, including stents, wires, pacemakers, and knee/hip replacement prosthetics.
Hospitals and health systems, in recognition of this major shift in national health policy, are scrambling to stay ahead of these economic and regulatory pressures. It is causing them to closely scrutinize operational costs and implement cost-cutting measures.
(more…)
Aug 7, 2009 | Laboratory News, Laboratory Pathology
MedPAC recommendation targets high-cost imaging done in physician’s offices
Following the lead of some private insurers, Medicare may soon require preauthorization for high-cost imaging tests—including CT, MRI and PET scans—done in physician offices. This is one of two strategies aimed at reducing payments for Part B physician radiology services that was recommended by the Medicare Payment Advisory Commission (MedPAC) in its report to Congress in March.
The General Accounting Office (GAO) estimates that preauthorization could save the Medicare program $220 million by 2014 and about $1 billion by 2019. To make preauthorization work, the Centers for Medicare & Medicaid Services would establish a panel of experts, to be known as a Radiology Benefits Managers (RBMs), to assist in evaluating and adjusting payment for potentially overvalued imaging services ordered by physicians with their own imaging facilities.
(more…)
Jul 29, 2009 | Laboratory News, Laboratory Pathology, News From Dark Daily
New care delivery model might emerge from collaboration between two partners
Guess which famous health provider is partnering with Microsoft (NASDAQ:MSFT) to encourage patients using home self-testing devices to regularly upload those data into an electronic medical record? It’s the Cleveland Clinic Health System. This project may point to a disruptive new model for laboratory testing.
It’s a pioneering arrangement. Microsoft’s HealthVault is interfaced with the eCleveland Clinic MyChart patient portal to create an interactive feature that collects data on from in-home medical devices used by patients with chronic conditions. The pilot project includes 460 patients with diabetes, congestive heart failure and hypertension. These patients use home blood pressure monitors, glucometers, and weight scales which are linked to the HealthVault platform personal health record (PHR) system.
(more…)
Jul 20, 2009 | Laboratory News, Laboratory Pathology
Best Investigative Reporting honors earned for story about problems with Vitamin D testing
Top honors in a prestigious national journalism competition were recently awarded to our sister publication, The Dark Report. Editor-In-Chief Robert L. Michel traveled to Washington, DC, to accept the first place award for “Best Investigative Reporting.”
The occasion was the 33rd annual conference of the Specialized Information Publishers Association (SIPA). Handing Editor Robert Michel his first place award was Nora O’Donnell, News Anchor and Political Reporter for NBC News and MSNBC. (more…)
