Medicare Advantage Insurers Hold Sway Over More Hospital Admissions
Forbes Healthcare
JULY 24, 2024
Medicare Advantage is accounting for “a rising share of inpatient hospital days,” according to a new KFF study shows.
Navigating Medicare Advantage: Strategies for Hospitals to Tackle Growing Challenges
EvidenceCare
NOVEMBER 19, 2024
Written by Carol Howard, VP of Clinical Strategy As Medicare Advantage (MA) continues to grow, hospitals have faced growing challenges in navigating complex policies, payer friction, and financial pressures. These changes will impact how hospitals approach their contracts and denial strategies.
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Navigating the Complexities of Social Admissions in Healthcare
EvidenceCare
JANUARY 12, 2024
Social Admission vs. Medical Necessity In healthcare, the term “social admission” signifies instances where patients find themselves admitted to a hospital primarily for non-medical reasons. However, these admissions come with their own set of difficulties, particularly in the realm of Medicare coverage and reimbursement.
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How Innovative Health Tech Can Reduce Hospital Re-Admission Rates
Electronic Health Reporter
FEBRUARY 5, 2020
The Hospital Re-admissions Reduction Program took effect in 2012 with the goal of sustainably lowering hospital re-admission rates. The article How Innovative Health Tech Can Reduce Hospital Re-Admission Rates appeared first on electronichealthreporter.com.
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Choosing a Control Group
Sensible Medicine
SEPTEMBER 25, 2023
Patients may develop a disease that requires admission to the hospital, mostly because of lung problems, such as the need for oxygen. Indirect organ damage is common in medical conditions that are severe enough to warrant admission to the hospital. The disease might affect other organs—either directly or indirectly.
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Hospitals’ COVID reporting burden to lighten as pandemic-era policies expire
Healthcare Dive - Practice Management
APRIL 30, 2024
On Wednesday, hospitals will no longer be required to report COVID-19 admissions, capacity or occupancy data to the federal government.
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Understanding DRG Codes and Their Impact on Hospitals
EvidenceCare
JUNE 11, 2024
In our efforts to empower hospital clinicians to provide better care by having real-time transparency to cost and benchmark utilization data, we’ve learned that one of the core code systems that defines modern hospital resource management – Diagnosis-Related Groups (DRG) – is misunderstood or even unknown. What is a DRG?
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In Need of Repair: Not-for-Profit Hospitals’ Finances
Electronic Health Reporter
OCTOBER 15, 2018
Decreasing inpatient admission volumes, shifts in the re-imbursement mix from higher-margin commercial payers to lower-margin public payers, and pressures resulting from value-based care have been solid trends during the past several years. This content is copyrighted strictly for Electronic Health Reporter.
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Outpatient is the New Inpatient – The Future of Hospitals in America
Health Populi
FEBRUARY 26, 2020
hospitals and why I’ve titled this post, “outpatient is the new inpatient,” a future paradigm for U.S. This realization is informed by data in a new report from Deloitte, Where have the many hospital inpatient gone? Our ability to create that network outside the hospital is huge.”
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What would happen in a nurse’s perfect world?
Scrubs
AUGUST 21, 2023
Patients would not be repeat offenders (admissions). CT/X-ray/ultrasound machines would only be across the hall, not on the other side of the hospital. Here’s what I would have in my perfect nursing world : I’d never get pulled to work in another unit. Staffing would never be lacking. Patient families would be amicable.
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Preparing for CERT Audits and Practicing Compliant Documentation
EvidenceCare
APRIL 16, 2024
This comprehensive guide provides hospital and revenue cycle leadership with vital insights on preparing for CERT audits and establishing processes for compliant documentation. Hospitals need to be aware of these state-specific rules as well. Think of your documentation as the ironclad defense for your hospital admissions.
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U.S. Hospitals Will Lose $323 Billion in 2020 – Before Accounting for Growing COVID Cases
Health Populi
JULY 1, 2020
health systems are projected to lose $323 billion in 2020 due to declining inpatient and outpatient volumes caused by the COVID-19 pandemic’s impact on the “normal” hospital business. Hospitals racked up over $200 bn in losses between March and June 2020. declines in expected inpatient volume and 34.5%
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Hospital emergency visits, inpatient admissions decrease after ransomware attack
Healthcare Dive - Practice Management
MAY 30, 2024
Nearby unattacked hospitals were affected too, suggesting the consequences from a ransomware attack reach beyond targeted facilities, according to a JAMA study.
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CNOs Share Their Hopes (And Fears) for Virtual Nursing
Scrubs
FEBRUARY 21, 2023
Trinity Health announced it will introduce virtual nursing at its hospitals in Michigan and Ardent Health Services plans to do the same in New Mexico. It can also reduce the workload at the bedside by having remote nurses do admissions, discharges, and answer questions virtually. But not everyone agrees on the merits of this approach.
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Generative AI enhances emergency department decision-making
Medical Economics
MAY 22, 2024
Mount Sinai study finds AI can predict hospital admissions in emergency departments
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What We Are Not Talking About
Emerging RN Leader
JANUARY 14, 2024
Sherman, EdD, RN, NEA-BC, FAAN A CNO recently asked me why no one is talking about the high volumes and serious admission delays we are seeing in hospitals nationwide.
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Nurses Skipping Meals at Work to Afford Food for Their Families
Scrubs
AUGUST 27, 2023
The National Health Service has been criticized for not paying healthcare workers enough for their time, and now some providers are skipping meals just to make sure they have enough money to feed and clothe their children, according to a survey involving several hospital administrators.
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New Insights on Medicare Advantage Plans and The Two-Midnight Rule
EvidenceCare
SEPTEMBER 4, 2024
In case you aren’t familiar, the Two-Midnight Rule mandates that a patient’s hospital stay must span at least two midnights to qualify for inpatient status, directly influencing reimbursement rates and compliance requirements. In the MA Final Rule, however, CMS explicitly states that the two-midnight presumption does not apply to MA plans.
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Why Nursing Careers Are More Impactful Than Ever Before
We Care Online
MARCH 24, 2025
They also influence hospital policies, improving patient care processes and outcomes through their leadership. However, the accelerated pace can be demanding, and the admissions process is competitive. Nurses contribute to healthcare leadership by managing care teams and making critical decisions in fast-paced environments.
Parkland Center for Clinical Innovation’s Predictive Model Helps Prevent In-Hospital Adverse Drug Events
Electronic Health Reporter
OCTOBER 17, 2019
The article Parkland Center for Clinical Innovation’s Predictive Model Helps Prevent In-Hospital Adverse Drug Events appeared first on electronichealthreporter.com.
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Understanding GMLOS and ALOS
EvidenceCare
MARCH 11, 2024
These measures play a fundamental role in hospital management, financial planning, and patient care optimization. By understanding and leveraging GMLOS and ALOS, hospital executives can improve operational efficiency and patient outcomes. It is the simplest and most commonly used metric for evaluating patient stays.
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The New Financial Toxicity in Health Care: The Cost of Hospitalization
Health Populi
MARCH 22, 2018
Beyond strong medicines, a new financial toxicity has emerged for patients due to hospital inpatient admissions. The “measurement” named in the title is graphed here as the proportion of people who filed for bankruptcy relative to years before or after hospitalization.
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FDA clears TriVerity test to identify and assess acute sepsis and other infections
Medical Economics
JANUARY 21, 2025
The newly approved TriVerity combines a single-use test cartridge and the Myrna instrument to deliver results at the point of care, informing decisions related to antimicrobial therapy, reduce unnecessary hospital admissions and guide patient disposition.
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Friday Reflection 38: Yesterday’s Solutions; Today’s Problems
Sensible Medicine
APRIL 12, 2024
Most of my undergraduate medical education took place at New York Hospital, where a medical error occasioned the first calls for duty hour reform. I was responsible for staying at the bedside of (or at least in the hospital with) my patients until they were stable. PR was admitted to my service at a hospital where I briefly attended.
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Inside Geisinger Med School Admissions with Dr. Michelle Schmude [Episode 600]
Accepted Blog
JANUARY 7, 2025
Show Summary Welcome to the 600th episode of Admissions Straight Talk ! Show Notes Welcome to the 600th episode of Admissions Straight Talk. Accepted’s free guide, Med School Admissions, What You Need to Know to Get Accepted can tell you exactly what you need to do. Dr. Schmude, welcome back to Admission Straight Talk.
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Advice for the New Intern 2.0
Sensible Medicine
JULY 19, 2023
Deliberate practice during internship is probably even more important today than it was in the days before duty hour restrictions and admission caps. What led him or her to the hospital or caused another doctor to admit the patient? Ask yourself what you are doing to solve the problem that led to (or have crept up since) admission.
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Mercer County Joint Township Community Hospital Cyberattack Affects Up to 88,500 Individuals
The HIPAA Journal
APRIL 4, 2025
Mercer County Joint Township Community Hospital in Coldwater, Ohio, has suffered a significant data breach involving the electronic protected health information of up to 88,541 individuals. The post Mercer County Joint Township Community Hospital Cyberattack Affects Up to 88,500 Individuals appeared first on The HIPAA Journal.
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Advice for Internship: Part II
Sensible Medicine
DECEMBER 13, 2024
Deliberate practice during internship is probably even more important today than it was in the days before duty hour restrictions and admission caps. What led him or her to the hospital? Remind yourself why the patient is in the hospital every day. However, you can learn more while doing if your practice is deliberate.
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Choosing a Control Group
Sensible Medicine
SEPTEMBER 25, 2023
Patients may develop a disease that requires admission to the hospital, mostly because of lung problems, such as the need for oxygen. Indirect organ damage is common in medical conditions that are severe enough to warrant admission to the hospital. The disease might affect other organs—either directly or indirectly.
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Deep Dive into Duke Medical: An Interview with Dr. Linton Yee, Associate Dean of Admissions [Episode 593]
Accepted Blog
SEPTEMBER 17, 2024
Show Summary Dr. Linton Yee, Associate Dean for Admissions at Duke University School of Medicine joins us to discuss how applicants can earn a spot in this highly competitive program. Show Notes Welcome to the 593rd episode of Admissions Straight Talk. Accepted’s Med School Admissions quiz can give you a quick reality check.
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4 Ways to Accessorize While on Duty
Scrubs
OCTOBER 20, 2023
Another study revealed that nurses wearing unconventional attire, such as colorful scrubs reduced anxiety among children in a hospital setting. In fast-paced, high-stress environments like hospitals, it’s vital that other healthcare professionals and patients are able to easily identify who’s who.
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Nurses Hacking for Health, Addressing Burnout, Workplace Violence, and AI
Health Populi
SEPTEMBER 25, 2023
Three in four nurses working in hospitals care about the success of their institution — “they show up and gown up…yet only 57% feel a sense of ownership in their hospitals, leaving leaders to expect 100% quality to be delivered by about half of the nursing workforce.” health system.
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Home Is Where the Health Is, CareMore Health (And Most People) Believe
Health Populi
JANUARY 16, 2020
For example, the organization’s Togetherness Program targeted the loneliness that can be part of older people aging at home; through social workers’ and volunteers’ outreach by telephone and in-person visits, CareMore members had lower emergency room utilization and fewer hospital admissions.
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Four Tips for Applying as an Underrepresented Applicant in Medicine
Accepted Blog
MAY 22, 2024
And from an admissions perspective, it’s essential that applicants from these groups consider how to best present themselves in their medical school applications. Self-identifying is the easiest way to let admissions committees know that you are part of an underrepresented ethnic or racial group, but it’s not the only way.
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Early Warning Score For Improved Patient Outcomes
Electronic Health Reporter
APRIL 25, 2019
The need for hospitals and physicians to recognize and react to patients showing early signs and symptoms of clinical deterioration has resulted in the creation of a rapid response system (RRS). Patient deterioration prior to adverse events including cardiac arrest and ICU admission has been reported with hemodynamic […].
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Inside Pitt Med School: Innovations in Medical Education
Accepted Blog
MARCH 11, 2025
Piraino also discusses the role of secondary essays in evaluating applicants and explores why teamwork, resilience, and cultural awareness are important in the admissions process. Show Notes: Our guest today is Dr. Beth Perino, Associate Dean for admissions at the University of Pittsburgh School of Medicine. Well, thank you.
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AI is Transforming Healthcare Behind the Scenes
Mobius MD
DECEMBER 3, 2024
By predicting admissions and discharge patterns, AI helps prevent overcrowding and reduces wait times. Optimizing the Supply Chain Like patient flow management, hospitals and clinics rely on a steady flow of medical supplies and medications to provide effective care. Yet supply chain disruptions remain a common challenge.
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What do the Neighbourhood Health Guidelines mean for Practice Managers?
Practice Index
FEBRUARY 6, 2025
NHS England states that regional teams should be working with local government partners to set priorities for 2025/26, with an emphasis on improving timely access to general practice, urgent and emergency care, and reducing long and costly admissions to hospitals or care homes.
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What does a hospital pharmacy technician do?
NHA Now
MAY 13, 2020
Pharmacy technician employers can be grouped into four main categories: community pharmacies (retail pharmacies), specialty pharmacies, mail-order pharmacies and hospital pharmacies. However, the day-to-day tasks of a pharmacy technician in a hospital are unique to that environment. Train new technicians and research pharmacy staff.
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Beyond Hospitals: Where Else Can Medical Assistants Work?
Prism Career Institute
JUNE 1, 2024
While more than half of the medical assistants employed in the United States work in hospitals and medical offices, medical assistants can perform their duties in a variety of settings. The post Beyond Hospitals: Where Else Can Medical Assistants Work? But variety isn’t found only in their responsibilities.
Nurse Finds Her Passion as Nurse Educator
Minority Nurse
AUGUST 24, 2022
Prisca Benson, MSN, RN is a a nurse navigator for the neuroscience department at The Valley Hospital. In 2014, I got a job as a neurology nurse at my dream hospital, NYP-Columbia University Hospital. I credit Rutgers and fellow student nurses who supported each other through nursing school. This was a dream come true!
How Your Academic Statistics Influence Your Medical School Choices
Accepted Blog
JUNE 12, 2024
The most reliable source of information about allopathic medical schools is the Medical School Admission Requirements ( MSAR ) website, offered by the AAMC (Association of American Medical Colleges). Work one-on-one with an expert admissions advisor to choose the best schools for you, and increase your chances of acceptance.
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Why Is Mobile Phlebotomy a Booming Business?
Prism Career Institute
JANUARY 9, 2025
Mobile phlebotomists visit a variety of hospitals, rehabilitation centers, assisted living facilities, and even private homes to meet with patients. Contact us to learn more about our admissions process, or take our medical career readiness quiz to find out whether phlebotomy is right for you.
George Boghos, Imagine Pediatrics
The Healthcare Blog
FEBRUARY 11, 2025
the goal is to improve the kids’ and parents’ experience and of course save money on emergency admissions, and hospital admissions. They provide telehealth and on the ground services (like EMTs) that supplement typical pediatrics offices. And hopefully do it for less money.
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