CMS: Hospitals can still apply to participate in bundled payment model   05/16/2013
The Centers for Medicare & Medicaid Services is accepting additional applications from hospitals to participate in Model 1 of the Bundled Payments for Care Improvement Initiative, the agency announced today. The Medicare demonstration includes four models of care that bundle payments for multiple services received during an episode of inpatient and/or post-acute care. Model 1, open to acute-care hospitals paid under the inpatient prospective payment system, defines the episode of care as an inpatient stay. Participants agree to provide a standard discount to Medicare from the usual Part A hospital inpatient payments. The CMS notice will be published in tomorrow’s Federal Register. Interested organizations should submit an Information Intake Form to within 75 days.
AHA: Hospitals committed to sharing clear information about costs   05/16/2013
Many parts of America's health care delivery and financing systems urgently need updating, and the matter of "charges" ranks high on the list, AHA President and CEO Rich Umbdenstock writes today in an editorial counterpoint published in USA Today. “Decades of federal regulations have made a complex billing system even more complex and frustrating for everyone involved,” Umbdenstock notes. “…Hospitals recognize that the billing system is complex and have been actively working to share clear information with consumers about costs. More than 40 states already require or encourage hospitals to report information on hospital charges or payment rates publicly. The AHA has supported legislation that would require all states to provide this information. Is there more that can be done to engage American consumers as active participants in their medical care and to educate them about its costs? Yes. And America's hospitals are committed to helping consumers have the information they need to do so.”
CDC: More children being hospitalized for mental health/substance abuse   05/16/2013
Inpatient admissions among children for mental health and substance abuse increased 24% between 2007 and 2010, according to a report on children’s mental health released today by the Centers for Disease Control and Prevention. Between 1997 and 2010, hospital stays for mood disorders increased 80% among children, from 10 to 17 stays per 10,000 population. According to the report, the first to describe the number of children with specific mental disorders, up to one in five U.S. children experience a mental disorder each year. Attention-Deficit/Hyperactivity Disorder is the most prevalent diagnosis. Suicide, which can result from the interaction of mental disorders and other factors, was the second leading cause of death among adolescents in 2010.
Hospital prices fall 0.6% in April   05/16/2013
Overall hospital prices declined 0.6% in April, and were 1.8% higher than a year ago, the Bureau of Labor Statistics reported yesterday. Prices for the subgroup of general medical and surgical hospitals declined 0.6%, and were 1.7% higher than in April 2012, according to the BLS' Producer Price Indices, which measure average changes in selling prices received by domestic producers for their output. For hospitals, this translates into actual or expected reimbursement for a sample of treatments or services. The PPI for hospitals measure changes in actual or expected reimbursement received for services across the full range of payer types. This includes the negotiated contract rate from the payer plus any portion expected to be paid by the patient.