The Battle Over Medicare’s Hospital Star Rating (#hcbiz 23)

The Centers for Medicare and Medicaid Services (CMS) is moving forward with plans to launch a new 5-star rating system on its Medicare Hospital Compare web site.  The new rating system gives a single star-rating from 1 (worst) to 5 (best).  According to CMS: “The Star Rating, which was developed through a public and transparent

Infection Prevention and Control (IPAC)

Why are we losing the battle to Hospital-Acquired Infections? (#hcbiz 22)

Hospital Acquired Infections (HAI) are a big deal in US healthcare: They cost U.S. hospitals as much as $45 Billion per year. On any given day, approximately one in 25 U S patients has at least one infection contracted during the course of their hospital care In 2011, there were an estimated 722,000 HAIs in U.S.


Bringing Direct Primary Care to Medicaid (#hcbiz 21)

Medicaid is a big part of our national healthcare expenditure. It accounts for 25% of the average state budget and nearly 10% of the federal budget. Caring for the 72 million+ Medicaid enrolled beneficiaries  is challenging.  Many live in unhealthy environments and face significant obstacles to maintaining their health and obtaining necessary medical care. On top of that, providers are paid

CultureInnovationPatient Engagement

What happens when you let patients design the clinic? (#hcbiz 20)

There’s a lot of pressure being applied to the healthcare industry today. There are penalties for readmissions within 30-days of discharge, reduced (or non) reimbursement for harm due to clinical error (i.e. the CMS “never events”) plus many programs that tie reimbursement to measurable patient outcomes and patient satisfaction (i.e. the HCAHPS survey). One approach to addressing these issues


Digital Health: Snake oil or the free market doing its work? (#hcbiz 19)

American Medical Association CEO Dr. James Madara took some shots at digital health at the AMA annual meeting in Chicago last week. He said: “Today we have really remarkable tools — robotic surgery, new forms of radiation treatment, targeted biologics; and we live in a time of rapid development in the digital world — telemedicine as an example.