Monday, March 27

Health

Medicaid for rent? California wants Med-Cal to cover 6 months of rent
Health

Medicaid for rent? California wants Med-Cal to cover 6 months of rent

SACRAMENTO, Calif. — Gov. Gavin Newsom, whose administration is struggling to contain a worsening homelessness crisis despite record spending, is trying something bold: tapping federal healthcare funding to cover rent for homeless people and those at risk of losing their housing. States are barred from using federal Medicaid dollars to pay directly for rent, but California’s governor is asking the administration of President Joe Biden, a fellow Democrat, to authorize a new program called “transitional rent,” which would provide up to six months of rent or temporary housing for low-income enrollees who rely on the state’s health care safety net — a new initiative in his arsenal of programs to fight and prevent homelessness. Related: HHS offers guidance to Medicaid agencies for reimbursi...
Health

Throw Away That Phone – The Health Care Blog

By KIM BELLARD If I were a smarter person, I’d write something insightful about the collapse of Silicon Valley Bank. If I were a better person, I’d write about the dire new UN report on climate change. But, nope, I’m too intrigued about Google announcing it was (again) killing off Glass.  It’s not that I’ve ever used them, or any AR (augmented reality) device for that matter. It’s just that I’m really interested in what comes after smartphones, and these seemed like a potential path. We all love our smartphones, but 16 years after Steve Jobs introduced the iPhone we should realize that we’re closer to the end of the smartphone era than we are to the beginning.  It’s time to be getting ready for the next big thing.   ————— Google Glass was introduced ten years ago, bu...
The best time to develop an enterprise CRM strategy is now
Health

The best time to develop an enterprise CRM strategy is now

Healthcare organizations face risk in not delivering exceptional consumer experiences. Those that don't prioritize customer relationship management may find it harder to maintain their competitiveness. In a competitive environment, not delivering what consumers want carries considerable risk. But providing consistent and excellent customer experiences is a critical differentiator for health systems and health plans, and is challenging. In a market with ever-increasing customer choices, including those offered by nontraditional players such as Amazon and CVS, differentiating requires a significant focus of time and effort. Healthcare is evolving, and large national players are entering the market as worthy competitors. Organizations that do not prioritize CRM strategy, depending on the s...
HHS owes millions in adjusted Medicare DHS payments to hospitals: lawsuit
Health

HHS owes millions in adjusted Medicare DHS payments to hospitals: lawsuit

The federal government owes tens of millions of dollars to dozens of safety-net hospitals for alleged delays in correcting  Medicare disproportionate share hospital payments, hospitals alleged in a new lawsuit. Nearly four dozen hospitals in California, Arizona, Nevada, Hawaii and Minnesota filed the suit Tuesday against the Health and Human Services Department Secretary Xavier Becerra in a Washington, D.C., federal court. While regulators conceded in 2010 the DSH payment calculations were incorrect, HHS has delayed the amended payments, the hospitals allege. “The agency’s unreasonable delay has cost the plaintiff hospitals tens of millions of dollars in funds that should have been paid to them many years ago for the higher costs that they incurred to treat low-income patients more tha...
In the era of public health threats, CDC modernization is a race against the clock
Health

In the era of public health threats, CDC modernization is a race against the clock

In the wake of the COVID-19 pandemic and widespread criticism of the response from the Centers for Disease Control and Prevention, Director Rochelle Walensky has called for sweeping change in the way public health data is collected and communicated. This extends beyond organizational change and will require a technical and operational transformation of the CDC. The goal is simple: learn from the mistakes of the past and ensure that future health threats are addressed in a swift and coordinated manner. Assessing and devising a response to emerging public health threats requires a clear view into data from federal, state and local sources. And this is where the first challenge lies. Sharing is caring Public health issues are complex, and there isn’t one agency that has all the talent or r...
A big data COVID train wreck – The Health Care Blog
Health

A big data COVID train wreck – The Health Care Blog

BY ANISH KOKA If there was any doubt the academic research enterprise is completely broken, we have an absolute train wreck of a study in one of the many specialty journals of the Journal of the American Medical Association — JAMA Health. I had no idea the journal even existed until today, but I now know to approach the words printed in this journal to the words printed in supermarket tabloids. You should too! The paper that was brought to my attention is one that purports to examine the deleterious health effects of Long COVID. A sizable group of intellectuals who are still socially distancing and wearing n95s live in fear of a syndrome that persists long after a person recovers from COVID. There are any number of papers that argue a variety of putative mechanisms for how...
Health

COVID’s health spillovers – Healthcare Economist

Interesting paper from Ziedan, Simon and Wing (2023): The contraction in health care consumption at the start of the pandemic provides insight into central economic questions of waste and productivity in the U.S. health care system. Using linked mortality and Electronic Medical Records, we compare people who had outpatient appointments scheduled for dates in 30 day periods immediately before and after the Covid-19 emergency declaration. Appointment cancellation rates were 77% higher for people with appointments in the shutdown period. Intent to treat estimates imply that having a scheduled appointment date right after the emergency declaration increased one-year mortality rates by 4 deaths per 10,000. Instrumental variable estimates suggest that ...
Silicon Valley Bank failure could impact digital health investments
Health

Silicon Valley Bank failure could impact digital health investments

The Federal Deposit Insurance Corporation's decision to take over Silicon Valley Bank on Friday is likely to leave many digital health companies scrambling to pay employees and suppliers.  SVB, the nation's16th largest bank and headquartered in Santa Clara, California, was a big bank for tech companies, startups and venture capital firms. The bank said on its website that it had $78.8 billion in healthcare deposits and investments as of December. Experts say SVB's failure is another sign the digital health venture funding market is long past its peak. Funding has slowed down considerably from the highs of 2021. While the total for 2022 was the second-best year since Digital Health Business & Technology started tracking the data in 2010, the fourth quarter was the lowest quarterly f...
Humana’s Bruce Broussard touts upside to Medicare Advantage cuts
Health

Humana’s Bruce Broussard touts upside to Medicare Advantage cuts

The health insurance industry at large may be marshaling its forces to fight proposed cuts to Medicare Advantage rates next year, but one CEO doesn't seem too worried. Humana would actually benefit from lower rates and has in the past, President and CEO Bruce Broussard said during a TD Cowen conference in Boston on Tuesday. “We found in years that there’s pressure on the rate notice, we do much better,” he said. “I feel that 2024 will be that way.” Humana is the second-largest Medicare Advantage carrier with 5.1 million members, or 18% of the market, while the leading insurer, UnitedHealthcare, has 7.1 million policyholders and a 29% market share. The Centers for Medicare and Medicaid Services issued a proposal last month to cut Medicare Advantage rates by 2.3% in 2024, but risk adjust...
Health

What is a Tukey outlier? – Healthcare Economist

Previously, CMS implemented a Tukey outlier deletion method when calculating Medicare Advantage (MA) and Medicare Part D Prescription Drug Plans (PDP) star rating. A Final Rule implemented in 2022, however, removed the use of Tukey outlier deletion from quality measures. Based on 2020 historical data, 17% of MA plans would have lower star ratings as compared to only 1% would have higher star ratings after removing the Tukey outlier deletion. This begs the question, what is a Tukey Outlier. Tukey Outlier Definitions. Tukey outliers are data points that lie outside the following range; {Q1 – k(IQR), Q3+k(IQR)} Here Q1 and Q3 are the first and third quartiles of the data respectively and IQR is the interquartile range (i.e., the difference between the third and first qu...