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Tuesday, Oct 24 2023

Full Issue

Ways To Save Medicare Money May Not Be Popular With Voters, Industry

News outlets explore test models and policy debates over how Medicare spending could be reduced. Other insurance and health industry reports on older physicians, cybersecurity, premiums, and more.

There's been a lot of talk about Medicare's role in government health care spending, but what doesn't often come up is federal spending on employer insurance 鈥 or more accurately, the tax revenue that the government gives up. Reducing the tax break for employer-sponsored insurance would save the federal government hundreds of billions of dollars, but there's a reason that idea doesn't get pitched very often: Voters would almost certainly hate it. (Owens, 10/23)

The Global and Professional Direct Contracting Model went out a winner in its second and final year by saving Medicare $371.5 million in 2022, a more than fivefold improvement from the prior year, the Centers for Medicare and Medicaid Services announced Monday. CMS credited the $301.1 million increase in savings to growth in the number and experience of Direct Contracting participants, and to an extension of the amount of time organizations had to manage patient care. Tepper, 10/23)

In news about health care personnel 鈥

A prominent cancer-detecting doctor at Johns Hopkins Hospital is on administrative leave after a misdiagnosis led to a patient鈥檚 bladder removal, and as allegations have surfaced that he bullied or intimidated others in his department, according to interviews and an accreditation report obtained by The Washington Post. The internationally regarded pathologist Jonathan I. Epstein has been accused by other doctors of pressuring them to give second opinions that agree with diagnoses made by his wife, who also is a pathologist, said four people who have knowledge of the situation and spoke on the condition of anonymity to discuss an ongoing probe. (Thompson and Shepherd, 10/22)

An 84-year-old ophthalmologist has filed a class action lawsuit against Henry Ford Health and its medical group practice over a policy requiring older practitioners to undergo a cognition screen in order to keep their position. The complaint, filed late September in the U.S. District Court for the Eastern District of Michigan, alleges that the organizations are discriminating against its employees solely on the basis of their age. (Muoio, 10/23)

In health technology news 鈥

A California judge rejected the request to prevent the tech giant Google from gathering user analytics data from websites of healthcare providers, Law360 reported Oct. 18.聽The judge said there is no evidence that Google has been using the collected information from healthcare providers' websites for "criminal or tortious purposes," according to the publication.聽(Diaz, 10/20)

Cybersecurity incidents in healthcare spiked in September as the industry continues to face challenges in protecting data, according to a report published Tuesday. The report, from cybersecurity software company NCC Group, found that cybersecurity incidents increased 86% in September.聽(Perna, 10/24)

In other health care industry news 鈥

Health insurance premiums for people who buy coverage on their own are set to increase by nearly 10% next year. But that is slightly lower than insurers had initially requested, and the Polis administration found other reasons to cheer in the numbers it released Monday. (Ingold, 10/24)

BJC HealthCare, the region鈥檚 biggest health care provider, says it is working on a plan to ensure people who depend on 鈥淥bamacare鈥 health insurance policies will still have access to its system. BJC said it plans to make an announcement on an agreement for a new Affordable Care Act coverage option early this week, ahead of the start of the open enrollment period. (Merrilees, 10/23)

While hospice has become a popular end-of-life care choice for many terminally ill people in the United States, the care model continues to suffer an image problem among members of the LGBTQ+ community. One-third of LGBTQ respondents to a survey released last year by the National Hospice and Palliative Care Organization said they were unsure whether hospice providers would respect their sexuality. 鈥淲e don鈥檛 know what comes along with their history,鈥 Weiss said. 鈥淪o it鈥檚 our job to create safety for those patients.鈥 (Eastabrook, 10/23)

With HGTV-style finishes like butcher block counters and hardwood floors, a tiny house on wheels rolled into Washington this week demonstrating what it looks like to hospitalize patients at home. Medically Home 鈥 one of the companies helping health systems like the Mayo Clinic and Kaiser Permanente launch their own hospital-at-home programs 鈥 is making the case for Medicare to extend pandemic-era flexibilities funding at-home hospital care. (Reed, 10/24)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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