- A federal judge struck down the ACA. (But hospitals shouldn't panic yet.) A federal judge on Friday dealt the Affordable Care Act a major blow, ruling that the entire law, including its coverage expansions, payment models, and patient protections, are unconstitutional. But legal experts and public health officials noted the ruling has no immediate effects and is likely to be appealed.
- Study: United States' total outpatient, inpatient costs exceed those of other nations. Total health care costs for inpatient and outpatient services in 2016 were higher in the United States than in more than 100 other nations, according to a study published in The Lancet Public Health. The study found that the average outpatient visit in the United States costs almost $500, while the average inpatient visit costs more than $22,000. The researchers said the substantial variation in health care service costs among nations means that any plans for setting a global utilization standard for universal health coverage should factor in inefficiencies in current health care systems.
- Health Care Transformation Task Force ties 47% of businesses to value-based models. The Health Care Transformation Task Force in a new progress report said its participating provider and payer members tied 47% of their businesses to value-based payment arrangements by the end of 2017—putting the group on track to meet its goal of having 75% of its businesses operating under such models by the end of 2020. The task force, which launched in 2014, includes organizations such as Aetna, Aledade, Ascension, Anthem, Atrius Health, the Cleveland Clinic, several Blue Cross Blue Shield organizations, Geisinger, and Partners HealthCare, among others.
From Advisory Board:
- Part 2: How health systems can achieve true financial sustainability. Join us today, December 20, at 1:00 p.m. ET to learn about why organizations are investing in activity-based cost accounting, project management functions, and artificial intelligence; and how health systems are generating economies of scale through growth.
- The care transformation state of the union. Join us on Thursday, January 31, at 3:00 p.m. ET to explore these disruptors and how population health leaders must evolve their strategy.
- Examine Medicare's Hospital Inpatient Pay-for-Performance update, FY 2019. Join us on Wednesday, February 27, at 3:00 p.m. ET to learn about important updates to CMS's three inpatient pay-for-performance programs, which place up to 6% of a given hospital's inpatient payments at risk in FY 2019.