DOTmed Home MRI Oncology Ultrasound Molecular Imaging X-Ray Cardiology Health IT Business Affairs
News Home Parts & Service Operating Room CT Women's Health Proton Therapy Endoscopy HTMs Mobile Imaging
SEARCH
Current Location:
>
> This Story


Log in or Register to rate this News Story
Forward Printable StoryPrint Comment
advertisement

 

advertisement

 

Business Affairs Homepage

MDW aims to combat radiologist shortage with blockchain Connecting radiologists seeking volume to the facilities that need reading support

United Imaging Healthcare makes US debut at RSNA Bringing MR, CT, X-ray and PET/CT manufacturing to Houston

Dr. Hermann Requardt United Imaging Healthcare appoints senior scientific advisor

Dr. Jaewon Ryu Geisinger appoints interim president and CEO

Dr. Kent Thielen Mayo Clinic appoints CEO of its Florida operations; board of trustees names two new members

Medical charities do measurable good in the world A look at some organizations bringing goods and services where they are needed most

Mike Lobinsky EOS Imaging appoints new President North America

Merit Medical Systems closes acquisition of Cianna Medical Deal worth $135 million with possible additional incentivized payments

Clinical wearables – remaining competitive in an evolving market Insights from Ravi Kuppuraj, Business Leader of Connected Sensing Venture for Philips

Driving premium platform valuations for future growth The radiology M&A market is red hot, help investors see the value in your business

Courtesy of Linkedin

Maryland global “all-payer” system saves $116 million in hospital costs in first year

by John W. Mitchell , Senior Correspondent
An innovative agreement struck between hospitals, the state of Maryland and CMS both saves money and improves outcomes, according to a recent study published in the New England Journal of Medicine

“Our state achieved this first year result by basically reinventing the way hospitals deliver care,” David Simon, manager of communications at the Maryland Hospital Association (MHA) told HCB News. “Maryland hospitals are moving to be proactive in providing holistic care that manages population health.”

Story Continues Below Advertisement

RaySafe helps you avoid unnecessary radiation

RaySafe solutions are designed to minimize the need for user interaction, bringing unprecedented simplicity & usability to the X-ray room. We're committed to establishing a radiation safety culture wherever technicians & medical staff encounter radiation.



To get these results, Simon said the MHA, state and CMS worked with hospitals to set three financial metrics and two outcomes/clinical quality metrics. Its member hospitals exceeded all three financial metrics, such as controlling spending per capita.

It also greatly exceeded its goals for reducing hospital acquired infection rates. It has not yet met a fifth goal – Medicare readmission rates – but was close to the national average.

In 2014, hospitals continued to collect payments on the fee-for-service side as usual, said Simon. However, global budgets were negotiated to provide incentives to reduce avoidable utilization and save Medicare money. The result is a savings to Medicare of $116 million in the first year.

“When your budget is not dependent on volume, it provides incentives to control costs through disease management outside the hospital,” Simon said.

For example, he said one Maryland county realized that most of its super-utilizers were coming from a housing project. As a result, the county helped establish a primary care clinic, complete with physician in the housing project. They experienced a dramatic decline in the number of chronic illness cases coming to the emergency room, and with associated inpatient admissions.

“Our member hospitals have been doing some real outside-the-box thinking to adapt to this new reimbursement climate,” Simon explained. “They are working with other organizations in the community, such as Meals on Wheels and domestic abuse shelters to help manage health outside the hospital.”

Simon did offer a word of caution for other states considering the same transition. He said the transformation is hard work from both a clinical and policy perspective, requires investment, and is a bit counterintuitive. What works in Maryland because of its long history with an all-payer model may not work in other states.

“We’re still reviewing the data. While our member hospitals had a great first year, it’s no guarantee that these kinds of savings will be successful and sustainable over the long term,” he added.

Back to HCB News
  Pages: 1

Business Affairs Homepage


You Must Be Logged In To Post A Comment

Advertise
Increase Your
Brand Awareness
Auctions + Private Sales
Get The
Best Price
Buy Equipment/Parts
Find The
Lowest Price
Daily News
Read The
Latest News
Directory
Browse All
DOTmed Users
Ethics on DOTmed
View Our
Ethics Program
Gold Parts Vendor Program
Receive PH
Requests
Gold Service Dealer Program
Receive RFP/PS
Requests
Healthcare Providers
See all
HCP Tools
Jobs/Training
Find/Fill
A Job
Parts Hunter +EasyPay
Get Parts
Quotes
Recently Certified
View Recently
Certified Users
Recently Rated
View Recently
Certified Users
Rental Central
Rent Equipment
For Less
Sell Equipment/Parts
Get The
Most Money
Service Technicians Forum
Find Help
And Advice
Simple RFP
Get Equipment
Quotes
Virtual Trade Show
Find Service
For Equipment
Access and use of this site is subject to the terms and conditions of our LEGAL NOTICE & PRIVACY NOTICE
Property of and Proprietary to DOTmed.com, Inc. Copyright ©2001-2018 DOTmed.com, Inc.
ALL RIGHTS RESERVED