In the News: December 22-28

Sg2 is dedicated to helping our clients interpret the latest news and trends in health care. Below you’ll find our analysis of this week’s key industry headlines, along with links to related Sg2 resources.

CMS Finalizes Cardiac Rehab Incentive Payment Model

Buried in the Final Rule for the new mandatory bundled payment programs, CMS has finalized the Cardiac Rehabilitation (CR) Incentive Payment Model. In an effort to address a pattern of CR services underutilization among Medicare beneficiaries, CMS will retrospectively pay hospitals for each CR or intensive CR service rendered during an acute myocardial infarction or coronary artery bypass graft episode. This added payment ($25 for each of the first 11 services and $175 for each additional service) is intended to account for extra resources expended to reduce barriers to CR services access (eg, transportation), but not to cover patient co-pays. The new model will begin July 1, 2017, across 90 geographic regions. (See Tables 53 and 54 of the Final Rule.)

Watch this Sg2 webinar to learn more about the ever-changing cardiovascular payment landscape and ways to leverage these new payment programs more broadly.

Hospital Demand Rising for Mobile 3D Imaging Equipment

According to the latest Modern Healthcare/ECRI Institute Technology Price Index, hospitals have increased spending by 33% for mobile C-arm X-ray systems this past fall. They attribute the rise in spending to the increasing demand for 3D system utilization for neurovascular procedures. Mobile C-arm X-ray systems, used for minimally invasive surgical procedures as well as diagnostic imaging, are a foundational element in the emerging hybrid operating room model.

3D system technology is the new frontier in the OR and is expected to grow over the next 2 decades. To learn more about the trends in diagnostic imaging and the emerging hybrid operating rooms, please refer to Sg2’s Technology Guide Compendium 2016.

JAMA Pediatrics: Disproportionate Increase in Neonatal Abstinence Syndrome in Rural Counties

According to a recently published study in JAMA Pediatrics, incidence rates of neonatal abstinence syndrome (NAS) increased disproportionately in rural counties from 2004 to 2013. Both rural and urban counties saw an increase in NAS incidence rates; however, rural counties saw an increase from 1.2 to 7.5 per 1,000 hospital births, while urban counties had an increase from 1.4 to 4.8 per 1,000 hospital births over the same period.

Sg2’s 2016 Impact of Change® Forecast projects a 2% increase in inpatient NAS discharges over the 5-year period from 2016 to 2021, despite an overall 5% decline in inpatient neonatology discharges. Watch the 2016 Pediatric Landscape webinar for more on NAS and strategies to address this increasing prevalence.

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As of February 11, 2016, Vizient, Inc. has completed its purchase of MedAssets Sg2 and spend and clinical resource management segments from Pamplona Capital Management, LLC. MedAssets revenue cycle business will continue to operate as a wholly-owned subsidiary of Pamplona Capital Management LLP.

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