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The number of doctors participating in at least one accountable care organization increased from 44% in 2016 to a record 53.8% last year, and physicians working in hospital-owned practices had higher participation in ACOs and medical homes than those working in doctor-owned practices, according to an American Medical Association research paper. Thirty-nine percent said they belonged to a commercial ACO, 38.2% to a Medicare ACO and 26.3% to a Medicaid ACO, while 31.9% said they take part in medical homes. American Medical Association (9/12)
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Eligible hospice and palliative care organizations will be able to participate in the Primary Care First initiative's Seriously Ill Population Model beginning in January as part of a project intended to reduce health care costs and avoidable hospitalizations. The model is intended to promote coordinated, patient-centered interdisciplinary care for patients with chronic, complex conditions. Hospice News (9/17)
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Henry Ford Health System's e-Home Care service is credited with reducing readmissions by 45% in the first half of this year, compared with the same time period in 2018, lowering costs, and improving outcomes and health for more than 130 patients in the remote patient monitoring program. The health system has started searching for payer partnerships to expand the program. mHealth Intelligence (9/18)
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A study in JAMA Network Open found 15.6% of physician practices and almost a quarter of hospitals are screening patients for all five social determinants of health included in the CMS' Accountable Health Communities model -- housing instability, food insecurity, transportation needs, utility needs and interpersonal violence. The findings, based on a survey of 757 hospitals and 2,333 physician practices, indicate patients were most likely to be screened for interpersonal violence and least likely to be screened for utility needs. Modern Healthcare (tiered subscription model) (9/18)
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Difficult transitions from cancer care in the hospital to community care can improve with help from specialty pharmacists. Tennessee Oncology has embedded a specialty pharmacy in its practice, and an essential role of the specialty pharmacist is navigating the continuum of care by gaining prior authorizations, negotiating with insurances to obtain the best drugs to avoid adverse events, helping patients with financial assistance, and providing overall support to patients and families. Specialty Pharmacy Times (9/16)
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HHS wants health insurers and providers to adhere to new data standards it hopes will allow more people to have access to their health information on smartphones and laptops, but studies are showing people are not at the point where they know about or want such capabilities. Julia Adler-Milstein, a lead author of one of those studies, said although public reluctance may be discouraging for policymakers, the first goal should be ensuring people can get their data when and if they want it. Politico (9/16)
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Healthcare Finance (9/18)
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