May. 20, 2015

Senate Special Committee on Aging holds hearing on 'Observation Stay Crisis'
U.S. Senate Special Committee on Aging
The U.S. Senate Special Committee on Aging held a hearing on Observation Stays today, entitled "Challenging the Status Quo: Solutions to the Hospital Observation Stay Crisis." To learn more, click here.More

Collaborative case management now available
The latest issue of Collaborative Case Management is now available online in the CE center of the ACMA Members Only section and set to arrive in your mailbox soon. As a reminder, continuing education credits are available with each edition of ACMA's official publication.

This issue includes:


The 2015 National Hospital Case Management Survey results are in
The 2015 National Hospital Case Management Survey final report is now available. Every two years, ACMA conducts an extensive survey to produce 95 percent confidence level data. ACMA randomly selects hospitals from the acute care setting across the United States to participate in this survey, and collects data from more than 400 hospitals.

More than 75 data elements are included in the final report including average case loads, salary ranges and scope of services/functions. Survey data is used by members in organizations nationwide for benchmarking, resource justification and practice improvement.

ACMA thanks those who participated in the Survey — your responses allow us to provide you and your colleagues in case management with valuable data and metrics specific to your daily practice.

The Survey results are available in the Members Only section of the ACMA website under the "Resources" tab.

Login at to download the Survey todayMore

We'll work around your schedule: New educational offerings from ACMA
ACMA is offering several new webinars this spring. These webinars provide an economical source of continuing education, especially for those who are not able to travel to conferences or do not have live events in their area. Hear from leaders in the field, at your own convenience, on your schedule.

About E-Learning with ACMA
E-Learning is a newly launched platform by ACMA that offers a growing library of webinar sessions. This library currently includes sessions from the 2014 ACMA Leadership Conference and other webinars. ACMA continues to add content frequently — both live and on-demand sessions. All are economically priced and provide the leading education you have come to expect from ACMA.

Visit the E-Learning website to register for a webinar, purchase on-demand, or peruse the library — click here. More

Compass: Directional training for case managers
Version 2.0 now available:

Learn more at

Improve your department's efficiency with Compare
ACMA's Compare provides powerful tools and benchmarking to facilitate change related to avoidable delays, readmissions and denials.

If you would like to know more about Compare and evaluate it for your organization, please contact James Nickerson at

ACMA Chapter Events
Innovative case management education near you — learn more at More

An IOM report on core metrics for health and healthcare progress
The Journal of the American Medical Association
This Viewpoint discusses an Institute of Medicine report that identifies 15 measures as core metrics for better health at lower cost. Two truisms apply to the current state of performance measurement in healthcare. The first is that if something — eg, a process, an outcome — cannot be measured, it cannot be improved. The second is that it is possible to have too much of a good thing. The recent enactment of HR 2: Medicare Access and CHIP Reauthorization Act of 2015, the so-called Doc Fix legislation, confirms the broadening societal embrace of the first truism. More

Bridging the gap between behavioral, primary healthcare for low-income patients
Health Affairs Blog
A traditionally marginalized component of the healthcare system, mental health and substance use issues have long been treated separately from physical health — despite the fact that we know they can have an impact on our physical well-being. Bridging the divide between behavioral and primary health care not only makes sense, it's what patients want. Recent Blue Shield of California Foundation research reveals that low-income patients prefer to receive behavioral health services in the same setting as they receive their primary care.More

CMS set to release Medicaid managed care 'uber rule'
Bloomberg BNA
The CMS is poised to release in the coming weeks what stakeholders and advocates are calling an "uber rule" that will completely overhaul the Medicaid managed care marketplace. Agency officials haven't offered much specific information about what may be included in the proposal, or even when it will be released — although it's been under regulatory review at the OMB since March, and the agency has been working on the regulations for over a year. CMS officials haven't offered much specific information about what may be included in the regulations. More

When paying Obamacare penalty is cheaper than buying insurance
The Miami Herald via Kaiser Health News
When Angela Denig couldn't cover the costs of Obamacare health insurance this year, she made the only decision she could: She gave up on coverage, paid the fee for not being insured and hoped she wouldn't get sick. A few months later, a health scare would put the South Florida woman's high-stakes gamble to the test. But at the time, she said, the calculation was clear. Paying a "several hundred dollar" penalty for remaining uninsured was much cheaper than forking over a monthly insurance premium of at least $200 under the Affordable Care Act — the only insurance she qualifies for. More

Senators create new caucus on NIH funding
The Hill
Two top senators are pairing up to bolster support for federal research — and to find a way to fund it. Sens. Lindsey Graham and Dick Durbin will co-chair the Senate's newest caucus, dedicated specifically to the National Institutes of Health. They plan to officially announce their new initiative, standing alongside NIH Director Dr. Francis Collins and other researchers.More

Study: Number of 'underinsured' rising, with 1 in 4 at financial risk from medical bills
Kaiser Health News
A report warns that an estimated 31 million people are insured by health plans that would not protect them enough from high medical bills. Rising deductibles were cited as the biggest problem. One-quarter of people with healthcare coverage are paying so much for deductibles and out-of-pocket expenses that they are considered underinsured, according to a new study. An estimated 31 million insured people are not adequately protected against high medical costs, a figure that has doubled since 2003, according to the 2014 national health insurance survey by the Commonwealth Fund. More

Sen. Roberts introduces legislation to create inspector general for ACA
Topeka Capital Journal
U.S. Sen. Pat Roberts introduced legislation to create an inspector general to oversee implementation of the Affordable Care Act. The bill, S.1368, is formally titled the Special Inspector General for Monitoring the Affordable Care Act, or SIGMA Act. The first 20 pages of the 47-page bill are a listing of 70 complaints about the Affordable Care Act, the manner in which it was passed through Congress and how it has been implemented since becoming law in 2010.More

AHA urges Congress to preserve ban on physician self-referral
AHA News Now
The AHA urged Congress to preserve the five-year-old ban on physician self-referral to new physician-owned hospitals and restrictions on the growth of existing physician-owned hospitals. "Conflict of interest is inherent in self-referral," said AHA President and CEO Rich Umbdenstock, who testified at a House Ways and Means Health Subcommittee hearing on improving competition in Medicare. The 2010 Affordable Care Act banned physician self-referral to new hospitals in which the doctor has an ownership interest.More