MACRA, Enhanced PA Care Models & SHM Members in Hospital Medicine News

SHM & Hospital Medicine in the News: October 13 – 27, 2016

Check out the latest hospital medicine and SHM-related stories in mainstream and healthcare-centric news. For the full stories, click on the links below:

MIPS Breakdown: 6 Must-Know Parts of the MACRA Final Rule
The Medicare Access and CHIP Reauthorization Act final rule is here. As industry experts begin to dig into the 2,400-page document released Friday, a few details are emerging that will be critical for providers who plan to practice fee-for-service medicine in 2017. Physicians, physician assistants, nurse practitioners, clinical nurse specialists and certified registered nurse anesthetists who bill more than $30,000 a year or provide care for at least 100 patients under traditional, fee-for-service Medicare will be subject to MACRA’s Merit-Based Incentive Payment System beginning Jan. 1.

October 18, 2016
Becker’s Hospital Review
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Expanding Role of Hospitalist PAs Achieves Similar Clinical Outcomes, Costs Less
More and more medical centers are relying on hospitalists — hospital-based internal medicine specialists who coordinate the complex care of inpatients. Now, an 18-month study comparing two hospitalist groups — one with a high physician assistant (PA)-to-physician ratio (“expanded PA”) and one with a low PA-to-physician ratio (“conventional”) — has found no significant differences in key clinical outcomes achieved by both groups.

October 24, 2016
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Hospitalists Are Needed, Not the Enemy
The hospitalist phenomenon is a response to the increased complexity of medical care in the 21st century. Expectations have risen in both the inpatient and outpatient setting for comprehensive mastery of increasingly complex and distinct practice environments. A significant element of modern hospital practice is driven by the increasingly demanding hospital regulatory environment with its resultant privileging demands upon the physician practicing within the hospital. The hospitalist does not act in competition with the primary care provider, but rather, in coordination with the primary care provider.

October 23, 2016
Honolulu Star-Advertiser
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What Hospitalists Need to Know About Accountable Care Organizations
Accountable care organizations (ACOs) represent a large and growing part of far-reaching transformations for the US healthcare system, says Bradley Flansbaum, DO, MPH, MHM, a hospitalist at Lenox Hill Hospital in New York City. But ask him how the hospitalist’s working life is different today under an ACO, and he replies, “It’s not. There is no difference in the way they get paid in an ACO,” he says. “I don’t know of any hospitalist group that has changed its financial incentives for members in response to ACOs.” 

October 25, 2016
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Q&A: Dr. Brian Harte, President, Cleveland Clinic Akron General
A number of factors drew Dr. Brian Harte to the top post at Cleveland Clinic Akron General. It’s the single biggest part of the Clinic’s regional hospital network. It has its own residency and graduate medical education programs. It’s an urban hospital, and a key civic and business pillar of the community. “My goal here on behalf of the Cleveland Clinic is that I believe we can improve the lives of our community,” said Harte, who has been with the Clinic since 2004 and for the last three years served as president of the Clinic’s Hillcrest Hospital in Mayfield Heights. 

October 23, 2016
Crain’s Cleveland Business
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Robert Wachter, MD Appointed as New Chair of Department of Medicine
Dean Talmadge E. King, Jr., MD announced the appointment of Robert Wachter, MD, as the new chair of UCSF’s Department of Medicine. Dr. Wachter, who served as interim chair for the past year, will also become the Holly Smith Distinguished Professor in Science and Medicine; he already holds the Lynne and Marc Benioff Endowed Chair in Hospital Medicine. 

October 13, 2016
UCSF School of Medicine News
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Brett Radler

Brett Radler is the Marketing Communications Manager at the Society of Hospital Medicine (SHM) and has been with the organization since May 2015. He is responsible for managing SHM’s blog, The Hospital Leader. In addition, Brett develops content for SHM’s monthly newsmagazine, The Hospitalist, develops and refines SHM-branded content for multiple communications channels and oversees SHM’s online communities.

Brett holds a bachelor’s degree in Communication from Rutgers University in New Brunswick, NJ and also serves as on-air talent at a New Jersey radio station in his spare time.

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