Leapfrog Group reports sharp decline in early elective deliveries   03/03/2014
The Leapfrog Group today reported a 59% decline in the average early elective delivery rate for hospitals participating in its 2013 survey, to 4.6%. That’s down from 11.2% in 2012 and 17% in 2010. About seven in 10 respondents reported a rate of 5% or less in 2013, up from five in 10 in 2012. “This is one of the most extraordinary examples of progress in health care that I’ve seen in my career,” said Leapfrog President and CEO Leah Binder. Nancy Foster, AHA vice president for quality and patient safety policy, said, “America’s hospitals are committed to protecting the wellbeing of all patients, including newborns. Hospitals have actively been working on reducing early elective deliveries, often partnering with the March of Dimes, which has created excellent information for patients. Today’s data show that reduction efforts are clearly working. In 2012, the AHA Board of Trustees announced it supported policies to eliminate early term non-medically necessary deliveries. Through the work of the AHA’s Hospital Engagement Network participating hospitals have reduced early elective deliveries by 53%. There is more work to be done but hospitals have made great strides in turning the tide and those efforts have benefited patients.” Research has shown that non-medically necessary deliveries before 39 weeks of gestation can increase the risk of health complications for mothers and babies.
Report: About 18% of U.S. adults experience mental illness each year   03/03/2014
About 18.2% of U.S. adults experienced a mental illness in 2011 or 2012, according to a new report by the Substance Abuse and Mental Health Services Administration. State averages ranged from 14.7% in New Jersey to 22.3% in Utah. The total includes 9.3 million adults with a serious mental illness causing substantial functional impairment. SAMHSA Administrator Pamela Hyde said the findings, from the National Survey on Drug Use and Health, can help public health officials and others address the mental health needs of the people in their communities.
CMS announces Colorado dual-eligible demonstration   03/03/2014
Colorado is the latest state to partner with the Centers for Medicare & Medicaid Services in the Financial Alignment Demonstration to test a new payment and integrated care model for patients enrolled in both Medicare and Medicaid. Under the demonstration, the state will expand its Medicaid Accountable Care Collaborative to 48,000 dual-eligible enrollees beginning in July and receive a retrospective performance payment if it meets certain quality and cost savings criteria. Launched in 2011, the collaborative links beneficiaries with primary care providers that serve as medical homes, supported by regional organizations that provide care coordination, medical management, and provider network development and support. A contractor provides analytic support and performance feedback.
CT hospitals report on community benefits   03/03/2014
Connecticut hospitals invested $1.2 billion in community benefit initiatives in 2012, according to a new report from the Connecticut Hospital Association. These efforts include support services for patients with cancer or chronic conditions, mobile vans and clinics, and other programs to meet specific community needs, as well as $222.5 million in uncompensated care and $868.3 million in losses due to Medicare and Medicaid underpayments. “Connecticut hospitals not only care for the sick, but they also work with their communities to identify and address key health issues people are facing, so they can live healthier, better lives,” said CHA President and CEO Jennifer Jackson.
Reminder: AHA webinar tomorrow on Medicaid enrollment, presumptive eligibility   03/03/2014
Officials from the Centers for Medicare & Medicaid Services will update hospitals on the latest Medicaid enrollment news during an AHA members-only webinar tomorrow at 12 p.m. Eastern Time. Participants also will hear from outside experts on Medicaid presumptive eligibility and tools that help hospitals enroll patients in coverage at the point of service under this Affordable Care Act provision. To register for the webinar, at 12 p.m. Eastern Time, click here.