Reform Realtime

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The Affordable Care Act brought about a lot of changes for providers, administrators, and patients. Although three years passed between passage and implementation of the key elements, everyone has been trying to prepare to meet the new regulations and requirements. In this video, hear from providers across the country on what they've done to prepare for healthcare reform.

What has your organization done to prepare? Share your thoughts in the comments section. Read More...
9/10/2014 5:27:34 PM | 0 comments

With Joanne Barnett, RN, MSN, and Curt Cabral, RN, JD

Nurses are a key part of the acute care team who play a crucial role in redesigning healthcare delivery. This week, Reform Realtime is pleased to welcome Joanne Barnett, Director of Adult Inpatient and Emergency Services at Pomerado Hospital in Poway, Calif., and Curt Cabral, Clinical Director of Emergency Services at Natividad Medical Center in Salinas, Calif., to talk about the changes taking places at their hospitals and the role nurses play in improvement efforts.

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8/21/2014 10:51:00 PM | 0 comments

Yesterday, we reported that the number of self-pay patients has been increasing at our emergency departments (EDs) across the country, and we received a lot questions! Namely, if more people are insured, how can that be the case?

Well as it turns out; there are a couple of factors that made it appear that self-pay is rising.

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8/8/2014 5:07:35 AM | 0 comments

In this infographic, see what the data from CEP America's 94 EDs across the country tells us about how the payer mix has shifted after many of the new healthcare reform measures took effect. Following the data from previous months, the number of self-pay patients continues to rise while other payer types remain flat.

Does this match what you're seeing at your practice? Leave your observations in the comments section.

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8/6/2014 5:17:56 PM | 0 comments

By Joshua Tamayo-Sarver, MD, PhD, FACEP

It's halfway through 2014, and the Reform Realtime data set has matured considerably. This means we're now able to make more meaningful comparisons by controlling for factors like month, year, hospital and geographic location. We're also able to more confidently identify patients covered by state and federal health exchanges.

Being a numbers guy, I'm really excited about this. I've been really curious about the impact of reform on ED volumes (which appear to be rising) and reimbursement (which we all hope will rise).

But as often happens with data, once I started running ours through computer models, I found something unexpected, but equally interesting:

Patients covered through state and federal health exchanges were more likely to present to the ED with high-acuity conditions.


In fact, their overall acuity (on a 5-point scale) was 4.10 versus 3.98 for the non-exchange population. These numbers hold even when controlling for factors like gender and age.

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8/5/2014 9:02:54 PM | 0 comments

We're now at the halfway point since many of the effects of the Affordable Care Act began, so what is making healthcare practitioners pause and consider the outcome? In this video, hear from different providers across the country talk about what they've been noticing and what they're growing concerned about.

What are your greatest concerns? Share your thoughts in the comment section.

 
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7/30/2014 7:21:04 PM | 0 comments

In this infographic, see what the data from CEP America's 94 EDs across the country tells us about how the payer mix has shifted after many of the new healthcare reform measures took effect. Does this match what you're seeing at your practice? Leave your observations in the comments section.

Read More...
7/23/2014 11:36:31 PM | 0 comments

Back in June on Reform Realtime, providers on the front lines shared their predictions about the long-term effects of healthcare reform:

"I think you're going to see a lot more team-based practices, because that's the only way we're going to address all of these patients coming to us with the number of providers that we have." — Cyndy Flores, PA-C

"If we don't have enough providers to care for all of these patients, access is going to be a huge factor into how this is all going to play out." — Matthew Stilson, MD

"I think the desire of policymakers is to move somewhere towards a single-payer system, which would give the government complete control over pricing and allow them to reign in the costs that healthcare has taken out of the economy." — Martin Ogle, MD

That was their take. But what did you think?

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7/9/2014 9:47:13 PM | 0 comments

In this infographic, see what the data from CEP America's 94 EDs across the country tells us about how volume has risen in different regions of the US after many of the new healthcare reform measures took effect. Does this match what's happening in your region? Leave your observations in the comments section.

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7/2/2014 6:19:35 PM | 0 comments

Over the last couple of weeks, we have heard perspectives from providers around the country on what they think the long-term effects of healthcare reform will be, but now we want to hear from you!

What do you think the healthcare landscape will look like in 10 or 20 years? How is healthcare reform going to impact your practice? Take our poll to share your thoughts. Then come back in two weeks to see the results. Subscribe to the blog in the top-right corner to be notified automatically.

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6/25/2014 9:57:31 PM | 0 comments
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