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).
JAMA just published the largest trial I have seen on a Hospital at Home (HAH) model to date and the first one out in the last few years. It comes from Mount Sinai in NYC–who have led the pack in this style of care if national presentations are the judge. They launched the program three […]
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 […]