Aug. 16, 2017

CBO: Higher Premiums, Increased Deficit If Trump Ends Obamacare Subsidies
Chicago Tribune
The federal deficit would swell and premiums for some health plans would rise sharply if the Trump administration makes good on a threat to cut off subsidies for low- and medium-income buyers of health insurance, the Congressional Budget Office. The report from the nonpartisan budget office, which analyzes the cost of legislation for Congress, provided the latest ammunition in a fight that has taken place largely behind the scenes on whether Trump will try to keep the market for individual health insurance stable over the next year or actively disrupt the marketplaces in hopes of forcing Congress to repeal or significantly change the Affordable Care Act.More

Call for Poster Presentations
Does your organization have a program or project that has resulted in positive outcomes and/or one that has provided valuable resources to patients, facilities, or agencies? If so, we invite you to submit a proposal to present a poster at the 2018 ACMA Case Management & Transition of Care Conference, April 23-27, 2018 in Houston, TX. The Poster Session provides an informal but professional forum to present and discuss your organization's advances in health care delivery system case management. It also allows you the opportunity to highlight your successes and learn how others are overcoming challenges. The submission deadline is October 20, 2017. For more information and to submit a presentation, click here.More

Planning To Take the ACM Exam?
Get an inside look at what the exam entails along with tips and strategies to use when planning your exam study. This free webinar is open to anyone who has applied for the ACM exam or is planning to take the exam in the near future. The webinar is scheduled for Friday, August 18, 2017 beginning at 12:00 pm CST (10:00 am PST, 11:00 am MST, 1:00 pm EST). For more information, click here.More

Attention Case Management Leadership and Executive Teams
ACMA invites you to join us at the 2017 ACMA Leadership & Physician Advisor Conference in New Orleans, November 5-7, 2017. These conferences provide executives, clinical and organizational leaders thought provoking presentations on current operations and practice, while helping to inform strategic thinking for the future. This is also an important opportunity for emerging leaders and leadership teams to learn what is proving to be successful in today's rapidly changing environment. Attendees can take advantage of two robust agendas and shared general sessions. For more information, click here.More

What Are Critical Considerations in Risk Management?
Healthcare risk management is an increasingly critical area as cybersecurity threats continue to evolve. Regardless of an organization's size, it needs to ensure that the right policies, procedures, and tools are in place so staff members can properly protect PHI. Research is showing that more entities are focusing on cybersecurity, but malicious threats will also continue to become more intricate.More

New Life For Medicaid After GOP's Healthcare Debacle
Washington Post
It may not equal Social Security and Medicare as a "third rail" program that politicians touch at their own risk, yet Medicaid seems to have gotten stronger after the Republican failure to pass health care legislation. Reviled by conservatives, the 1960s Great Society program started out as health insurance for families on welfare and disabled people. But the link to welfare was broken long ago, and the federal-state program has grown to cover about 1 in 5 Americans, ranging from newborns to Alzheimer's patients in nursing homes, and even young adults trying to shake addiction.More

Reducing Cost And Improving Care With Case Management — With Deb Ault
Deb Ault is a pioneer in innovative case management strategies — but she (and some of her fellow RNs) were not always convinced that it was the best strategy. Nurse Deb is the President of Ault International Medical Management and a pioneer in the medical management field. As an advocate of proactive and predictive case management, she helps patients and their case managers navigate the diagnosis, treatment, and financial aspects of healthcare.More

In Major Reversal, Survey Finds 56 Percent of Physicians Now Support Single-Payer Healthcare System
More and more doctors now say they endorse a single-payer healthcare system, a big shift from the past. A new survey of 1,033 physicians indicates that more than half of doctors (56 percent) either strongly support or somewhat support a single-payer system, according to Merritt Hawkins, which sent an email survey to doctors earlier this month.More

Results of CMS' Readmissions Program Has Hospitals, Experts Questioning Its Purpose
Modern Healthcare
The benefits coming from the CMS' Hospital Readmissions Reduction Program have slowed enough that some industry experts and hospital leaders say it may be time to retire the program. The program was mandated by the Affordable Care Act as part of a larger effort to curb health costs — readmissions make up about $41 billion in healthcare spending — and to motivate providers to improve outcomes.More

How Big Data Analytics Companies Support Value-Based Healthcare
As value-based reimbursement takes an increasingly firm hold on the healthcare industry, provider organizations are leaning heavily on their EHR and big data analytics vendor partners to equip them with the tools, health IT infrastructure, and business intelligence they need to succeed in a risk-based environment. The trend towards integrated, longitudinal population health management has led many organizations to choose a similarly streamlined complete suite of health IT tools from the vendor — an approach that may offer enhanced patient management, revenue cycle insights, and quality reporting tools without the headaches of joining up a patchwork of disparate systems.More

CMS Cancels Mandatory Episode Payment Models, Cuts Participation in Joint Replacement Model
Healthcare Finance
The Centers for Medicare and Medicaid Services officially announced it is pulling back from mandatory bundled payment models set up under the Obama administration. CMS is proposing to cancel the episode payment models and the cardiac rehabilitation incentive payment model, which were scheduled to begin on January 1, 2018. CMS is also reducing the number of mandatory geographic areas participating in the comprehensive care for joint replacement model, from 67 to 34. More