Volume VI, Issue 12

March 25,  2019
What Characterizes the Marketplaces with One or Two Insurers? An Update
John Holahan, Erik Wengle and Linda J. Blumberg offer an update on the ACA marketplace in this March 21, 2019 Robert Woods Johnson Foundation Urban Institute post.
The findings are not surprising. The ACA marketplace continues to struggle. It's more vibrant in areas of the country with higher population density. Marketplaces with one or two insurers charge much higher prices than competitive regions.
Click HERE to view the abstract. You can also download the full report as a pdf (no registration required).
Social Determinants of Health Impact Hospital Readmission Rates
Jacqueline LaPointe reports on a new study in a March 20, 2019 post in RevCycle Intelligence. New research in Health Services Research shows (not surprisingly) that social determinants of health are linked to hospital readmission rates. Therefore, accounting for disability, housing instability, and other social risk factors in value-based purchasing models can help level the playing field for safety-net hospitals.   
"HRRP penalties cost safety net hospitals millions of dollars each year, but aren't a fair reflection of their performance," Karen Joynt Maddox, MD, MPH, the study's lead author and Assistant Professor of Medicine in the Cardiovascular Division at Washington University's School of Medicine, stated in a press release. "Adding social risk factors to risk adjustment would be a significant step towards a more equitable program."
Death by 1000 Clicks
Fred Schulte and Erika Fry, reporting for Fortune (via KHN) on March 18, 2019, deliver a withering examination of the Electronic Health Records industry. The U.S. government claimed that turning American medical charts into electronic records would make health care better, safer, and cheaper, according to the authors. Ten years and $36 billion later, the system is an unholy mess. 

According the articles' authors: 
America and its healthcare providers have enjoyed little return on the investment. Rather than an electronic ecosystem of information, the nation's thousands of EHRs largely remain a sprawling, disconnected patchwork,  Moreover, the effort has handcuffed health providers to technology they mostly can't stand and has enriched and empowered the $13-billion-a-year industry that sells it.
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Florida Health Industry Week in Review is published every Monday by

Each Monday morning, we share the top healthcare headlines of the previous week and summarize
What Happened (WH) and
Why It Matters (WIM).

To learn how you can join our team of editorial contributors, contact Jeffrey Herschler .
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