iLoveBenefits: Industry News Blog
Some simply amazing data. How can this be?
Kaiser Family Foundation recently updated state fact sheets on Medicaid spending. Here are some key findings from the report on Medicaid in California:
• In FY 2015, Medicaid spending in CA was $85.4 billion.
• 26% of people in CA were covered by Medicaid/CHIP in 2015.
• 4 in 5 Medicaid enrollees in CA are in families with a worker.
• 34% of Medicaid spending in CA is for Medicare beneficiaries.
• One-fifth of state general fund spending in CA is for Medicaid.
• 58% of all federal funds received by CA is for Medicaid.
Source: Kaiser Family Foundation, January2017
The CDC recently released an analysis of the hospitalization costs associated with birth defects. Here are some key findings from the report:
• Structural or genetic birth defects affect 3% of live births in the U.S.
• 20% of infant deaths in the U.S. are due to birth defects.
• Birth defects accounted for 3% of all hospitalizations.
• 5.2% of total hospital costs are attributable to birth defects.
• Birth defect–associated hospitalizations cost $22.9 billion in 2013.
• Cardiovascular defects accounted for 14% of birth defect hospitalizations.
Source: Centers for Disease Control and Prevention, January 20, 2017
According to a recent survey, 73.1% of physicians do not limit the number of Medicare patients they see, and 63.7% of physicians do not limit the number of Medicaid patients they see. Source: 2016 Survey of America’s Physicians: Practice Patterns & Perspectives, The Physicians Foundation, September 21, 2016.
Medicare Spent $11,393 per Hospice Beneficiary in 2014
CMS recently released an analysis on hospice spending. Here are some key findings from the report:
|•||In 2014, Medicare spent an average of $11,393 per hospice beneficiary.|
|•||There were 1.3 million hospice beneficiaries in 2014.|
|•||11% had a live discharge from hospice care in 2014.|
|•||In 2014, 1 in 3 beneficiaries had more than 60 days of hospice care.|
|•||13% had more than 180 days of hospice care in 2014.|
|•||South Carolina had the highest spending ($14,778) per hospice beneficiary.|
Source: CMS, October 6, 2016
According to a recent survey, 72% of U.S. adults are concerned that their online healthcare records are vulnerable to hackers, down slightly from 76% last year. Source: New University of Phoenix Survey Reveals Majority of U.S. Adults are Concerned Their Online Healthcare Records are Vulnerable to Hackers, University of Phoenix press release, September 28, 2016.
McKinsey & Company recently released an analysis of 2017 exchange plan designs across the U.S.
Here are some key findings from the report:
|•||HMOs will comprise 62% of all plans for 2017.|
|•||68% of consumers will have access to competitively priced managed plans only.|
|•||The lowest-price silver plan premium will increase 9% for managed plans in 2017.|
|•||82% of consumers will have access to both managed and unmanaged plans in 2017.|
|•||For unmanaged plans, the lowest-price silver plan premium increase will be 18%.|
|•||97% of national plans will be managed in 2017, up from 62% in 2014.|
Source: McKinsey & Company, August 2016
According to a recent Vanson Bourne Global Data Protection Index:
10% of organizations are considered ,ahead of the curve, in data maturity.
8% of U.S. businesses are ,ahead of the curve,, the study found.
56% of organizations keep the IT environment on premise, while 29% use a public cloud.
27% of respondents indicated they would use backups for data protection.
20% indicated it would be easier to achieve backup and service-level agreements for disaster recovery.
The U.S. is ranked 14 of 18 countries when it comes to data maturity.
Source: U.S. Healthcare Industry Lagging on Data Protection, Healthcare IT News, August 22, 2016
According to a recent survey, 79% of respondents supported the proposed Precision Medicine Initiative’s planned national cohort study, which aims to tailor targeted treatments to specific diseases, and 54% said they would definitely or probably participate if asked. Source: “A Survey of U.S Adults’ Opinions about Conduct of a Nationwide Precision Medicine Initiative® Cohort Study of Genes and Environment,” PLOS One, August 17, 2016, http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0160461
The Agency for Healthcare Research and Quality (AHRQ) announces the August 17 issue of the Health Care Innovations Exchange (https://innovations.ahrq.gov/node/8388).
- The featured Innovations describe how an ambulance provider redesigned its emergency medical services system to create new care and referral pathways for 911 callers not facing true emergencies; a community paramedic program that significantly reduced unnecessary 911 calls from a local shelter and enhanced access to primary care for shelter residents; and a city EMS program that used a multipronged strategy to reduce unnecessary ambulance transports and ED visits, connecting non-emergent patients to primary care.
- The featured QualityTools include resources for reducing inappropriate emergency department use and tools to support community paramedicine programs.
- The featured Perspective, Convening a Learning Community to Reduce Non-Urgent Use of Emergency Services, describes the collaborative work of the Innovations Exchange Emergency Services Learning Community, based on an interview with its champion and expert faculty. https://innovations.ahrq.gov/perspectives/convening-learning-community-reduce-nonurgent-use-emergency-services