Trust HealthTrust’s team of clinicians to bring you the latest on nursing, pharmacy, laboratory and medical device topics related to the supply chain, as well as strategies for strengthening patient safety and clinical protocols.

Pills and money

The 340B Drug Pricing Program

The 340B Drug Pricing Program requires drug manufacturers participating in Medicaid to provide outpatient drugs at significantly reduced prices to eligible healthcare organizations or covered entities, such as safety-net hospitals. This program was originally set up in 1992 to provide support to safety-net hospitals that take care of a large number of the poor and […]

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Metal laptop with blank screen isolated on white background

The Impact of Evidence

The transformation of healthcare delivery relies on clinical evidence and physician engagement to drive value in the contracting process. That’s why HealthTrust’s physician services team conducts clinical evidence reviews in product categories that have a significant impact on patient care and are physician preference items. Input for these reviews comes from a large and growing […]

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overdiagnosis

Changes to Radiology Reimbursements on the Horizon

In November 2016, the Centers for Medicare & Medicaid Services (CMS) released final 2017 rules for hospital outpatient facilities and provider payments. Contained in these rules were two key provisions that significantly affect radiology reimbursements. One threatens the financial viability of off-campus imaging facilities, while the other requires providers to adopt new IT capabilities. “Understandably, […]

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Physician Perspectives on Gainsharing

Physicians have mixed and, in some cases, impassioned feelings about gainsharing—incentive-based payments made by hospitals to physicians who help them reduce inpatient costs and improve care outcomes through increased use of best practices. Gainsharing is a key feature of bundled payment programs, most notably models being tested by the Centers for Medicare & Medicaid Services […]

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Perioperative Pain Management Collaboration Summit

In April, HealthTrust hosted its first collaboration summit that brought together physicians, pharmacists, nurses and healthcare executives from five health systems to create provider-specific action plans for building an effective perioperative pain management program. Recent studies have demonstrated a connection between opioid drugs—the traditional means of alleviating post-surgical pain—and higher rates of complications. The practice […]

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Expensive Healthcare

Value Analysis

The industry’s ongoing transition from fee-for-service to value-based healthcare requires that hospitals be more clinically focused and fiscally responsible than ever before. This, too, has created a shift from supply chain- to evidence-based purchasing. But how do organizations go about maturing their value analysis program to achieve increasingly greater process rigor, transparency and physician engagement? […]

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memberinaction

Pint-sized Patients, Full-sized Care

Children’s hospitals play an important role in the healthcare delivery system, but only about 220 of them exist in the United States, or less than 5 percent of acute healthcare facilities nationwide. So when children need emergency care, parents often rely on a community hospital. How can these non-children’s hospitals meet the needs of their […]

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doctors and nurses at a conference table

Clinical Data Solutions Presents Groundbreaking Research at ACC 2017

Value-based payments and the latest AMI and CABG research findings of Clinical Data Solutions (CDS) were the focal points of a dinner presentation made by HealthTrust physician advisor Aaron Kugelmass, M.D., during the American College of Cardiology’s 2017 annual meeting in Washington, D.C. While BPCI, CJR and commercial bundled payment programs were among the predominant […]

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Latest ICER Report Looks at the Value of Drugs for Rheumatoid Arthritis

Rheumatoid arthritis (RA) is the latest high-profile disease for which the Institute for Clinical and Economic Review (ICER) has constructed a “value framework” for assessing and comparing available drug treatments. In April, ICER issued a comprehensive, 529-page report on targeted immune modulators (TIMs) for RA that covers 14 medicines—all but two biologics, and none biosimilars. […]

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Doctor Meeting Teamwork Diagnosis Healthcare Concept

Management Matters: Physician Q&A: Felix Lee, M.D.

Felix Lee, M.D., discusses the importance of physician engagement in establishing best practices, the role of physician advisors in HealthTrust’s clinical contracting strategy, and his goals for educating and enlisting physician champions on a local level. What are some of the reasons you chose to specialize in interventional cardiology? I originally majored in the neurosciences […]

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Angio Operation

Bolstered by a Strategic Partnership, St. Francis Hospital Improves Heart Attack Outcomes

Heart attack patients in the Medicare population experience high mortality rates and generate substantial healthcare costs. In light of the upcoming Centers for Medicare & Medicaid Services bundled payment mandates for heart attacks and coronary bypass surgeries, the inSight Advisory–Clinical Data Solutions team at HealthTrust is proving to be a strategic asset for hospitals wanting […]

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Mother holding a baby while he opens his mouth

The Impact of the Baby-Friendly Hospital Initiative

The World Health Organization and the United Nations Children’s Fund launched the global Baby-Friendly Hospital Initiative in 1991 “to encourage and recognize hospitals and birthing centers that offer an optimal level of care for infant feeding and mother/baby bonding.” According to the Baby-Friendly USA website (www.babyfriendlyusa.org), 393 U.S. hospitals and birthing centers in 49 states and […]

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Business conference in a hall with white screen

ACC 2017: Late-Breaking Trial Report on Absorb III at 2 Years

Abbott Vascular continues to see challenges in the results of ongoing clinical trials for the Absorb GT1 bioresorbable vascular scaffold (BVS). Two-year outcomes data from ABSORB III were accompanied by an FDA “Dear Healthcare Provider” letter the morning lead investigator Stephen Ellis, M.D., of the Cleveland Clinic, was making his presentation at the American College […]

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Knee and hip prosthesis

AAOS 2017: Implant Manufacturers Now Eying Entire Episodes of Care

The exhibit hall floor at the American Academy of Orthopaedic Surgeons (AAOS) 2017 annual meeting in San Diego, California was buzzing with new product launches beyond the metal and plastic on display in years past. With the inaugural mandatory bundled payment program for lower extremity joint replacement entering year two, major implant manufacturers have shifted […]

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Hand with the stent

ACC 2017: Positive Results for Fully Humanized PCSK9 Drug and Medtronic’s CoreValve

In addition to the reported results of  Abbott Vascular’s bioresorbable stent (which Felix Lee, M.D., will report on separately), five late-breaking trials caught my attention at the American College of Cardiology’s 2017 meeting in Washington, D.C., which will also be of interest to many HealthTrust member facilities. A summary of these studies and the implications […]

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Orthopedics Traumatology surgical operation

Demand-matching Orthopedic Implants to Patients: Opportunities and Obstacles

A handful of topics dominated the conversation during the first educational collaborative hosted by the inSight Advisory – Clinical Performance team at HealthTrust, among them: Knowing whether or not a medical device new to market warrants an upcharge The shortage of clinical, utilization and trend data to guide decision-making and benchmark physicians Uncertainty among administrators […]

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Roll of dollar banknotes

The Essential Guide to Bundled Payments

In 2015, the U.S. Department of Health and Human Services set an ambitious goal of tying 50 percent of traditional, fee-for-service Medicare payments to an alternative payment model by 2018. To reach that goal, the Centers for Medicare & Medicaid Services (CMS) continues to expand its episode payment models. Also known as bundled payments, these […]

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Doctor checking on a patient at the ER

The Sepsis Detectives

Despite advances in modern medicine, sepsis—a life-threatening condition whereby the body responds to infection by injuring its own tissues and organs—continues to be the leading cause of preventable death in U.S. hospitals. More than 1 million Americans are diagnosed each year. But detecting sepsis early can be challenging, experts say, because the symptoms often mimic […]

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Going Over a Patients Charts

Beyond HCAHPS Scores

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) has become a vital predictor of a hospital’s bottom line. That’s because the patient satisfaction survey required by the Centers for Medicare & Medicaid Services (CMS) is an important determining factor for agency reimbursements—and hospitals with lower scores are financially penalized. Patient satisfaction rates make […]

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Update on Value-based Care

For years, the Centers for Medicare & Medicaid Services (CMS) has researched and developed new care reimbursement models in hopes of achieving better healthcare outcomes at a lower cost. Among the most discussed of these currently is the bundled payment—shifting more risk to hospitals but also rewarding them for collaborating with other providers to reduce […]

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Precise Prevention?

One out of every 25 hospital patients will contract a hospital-acquired infection (HAI) during their stay, according to data from the Centers for Disease Control and Prevention. These infections may result in severe health problems or require readmissions that drive up healthcare costs. While healthcare facilities have detailed processes in place for disinfecting rooms, the […]

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