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A study in the Annals of Internal Medicine found the Medicare Shared Savings Program did not cut costs or improve quality of care or patient outcomes after accounting for variables. Researchers found high-cost clinicians were more likely than lower-cost clinicians to leave the program, and that attrition may be behind any cost or quality gains. HealthLeaders Media (6/17)
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A study in The American Journal of Managed Care that evaluated a clinical decision support discharge algorithm developed by Remedy found it may reduce spending and readmissions. The algorithm, designed to help determine the best care site for discharged patients, was associated with a savings of $860 per episode of care. Becker's Health IT & CIO Report (6/18)
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Nearly 90% of payments made by Blue Cross Blue Shield of North Carolina occur through value-based arrangements, but the company aims to move more of these to advanced models where both insurer and health care provider are accountable for cost and quality, writes CEO Dr. Patrick Conway. BCBSNC will progress toward integrating advanced payment models for behavioral health and specialty care, and aims to have all payments made through advanced models that integrate shared accountability by 2023. The American Journal of Managed Care online (6/18)
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Researchers polled 23,710 patients or their caregivers and found that 62% consider having access to clinician-documented visit notes via a web-based portal as an important factor in their search for a new health provider, and 98% said it was a good idea to have web-based access to clinical visit notes. The findings, published in the Journal of Medical Internet Research, also showed that 72% of patients cited the importance of note reading in their health management, while 65% remember their care plans by accessing clinical notes. Becker's Health IT & CIO Report (6/19)
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Although outpatient prescribing of opioids has declined, new research suggests inpatient prescribing is unchanged and nonopioid painkillers were rarely tried first, according to a study in the Annals of Internal Medicine. In addition, 6% of those who got opioids for over two-thirds of their stay as inpatients were still receiving them three months later, compared with 3% of others. HealthDay News (6/17)
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The Protecting Personal Health Data Act, proposed by Sens. Lisa Murkowski, R-Alaska, and Amy Klobuchar, D-Minn., aims to create data protection standards and regulation not currently covered by HIPAA, including those from technologies such as health apps. The proposal would require HHS to create a national task force to protect health data and develop security standards for apps, consumer devices, software and services, and establish regulations to help enhance health data security and privacy. Health IT Security (6/17)
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Modern Healthcare (tiered subscription model) (6/19)
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