The Citi Research group found that November 2013 hospital admissions were the lowest they have been in a decade (~4-5% lower than 2012). This drop is probably multifactorial, but likely exacerbated by the Medicare implementation of the “two midnight” rule. As all hospitalists are now well aware, Medicare requires patients to be placed in “observation” status if the intended duration of the hospital stay is 1-2 midnights. We will continue to see how this new Medicare rule affects inpatient volumes over time (link to article).
Prices from a chargemaster are “what a drunken billionaire would pay a hospital if his wife were not around to control the bastard.” — Uwe Reinhardt You might be asking why such an outlandish quote? Last week CMS proposed* to change the way patients see the costs of hospital bills. So what you might utter. […]
“We Need Creative Solutions” When I read or hear the sentence above, I think of one thing and one thing only. The solution is long in coming, involves input from multiple parties, has no obvious fix, is costly–in either money or time, and we undergird it by a whopper of a collective action problem. How […]
By: Win Whitcomb, MD, MHM Hospitalist groups have been among the highest volume participants in Medicare’s Bundled Payments for Care Improvement (BPCI) demonstration project, initiating almost 200,000 episodes representing over $4.7B in spending since the model began1. On January 9, the Centers for Medicare and Medicaid Services (CMS) announced BPCI’s follow-on model, ‘BPCI Advanced’,2 which starts […]