Hospitals that left the Comprehensive Care for Joint Replacement program this year treated more medically complex and Medicaid patients and had lower joint-replacement volumes, according to a study published online this week in JAMA Internal Medicine. The Centers for Medicare & Medicaid Services launched the five-year bundled payment pilot in 2016, initially making participation mandatory for about 800 acute care hospitals in 67 metropolitan statistical areas. When the program this year became voluntary for hospitals in 33 of the MSAs with the lowest historical costs, nearly three-quarters of the 205 hospitals that could leave the program did so. “Hospitals with a higher proportion of socially vulnerable patients might be more likely to leave the program because episode spending for these patients tends to be high owing to greater complication rates and more common use of institutional post-acute care,” the authors said. “The CJR program cost thresholds are more restrictive for hospitals with historical costs higher than regional average rates because the threshold is a weighted average of each hospital’s historical and regional costs in the first three years of the program and will be entirely based on regional costs starting in 2019.”
The Health Resources and Services Administration seeks input through Oct. 9 on how best to conceptualize and measure access to health care in rural communities…
Thirteen states yesterday filed a lawsuit challenging a Department of Homeland Security final rule limiting the ability of legal immigrants to adjust or extend…
The Department of Homeland Security today released a final rule limiting the ability of legal immigrants to adjust or extend their immigration status or gain…
Insights and Analysis
Hospital and health system leaders can measure their inclusion efforts against the Healthcare Equality Index, a national benchmarking tool.
Improving rural health is an AHA priority because we truly cannot advance health in America without keeping our rural communities strong.
The House Ways and Means Committee today launched a health task force to better address the needs of residents in rural and underserved communities.