From Health Affairs Today <[email protected]>
Subject Hospital Payment And Services
Date November 2, 2021 8:03 PM
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Podcast: Addressing Perinatal Mental Health to Curb Maternal Mortality
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The Latest Research, Commentary, And News From Health Affairs

Tuesday, November 2, 2021

Dear John,

Two papers in the November issue
of Health Affairs
cover hospital payment and services.

Hospital Payment And Services

In recent decades there has been a movement to reduce health care costs

by shifting care delivery to less costly outpatient settings.

To reduce inappropriate inpatient billing for very short hospital stays,
in 2013 the Centers for Medicare and Medicaid Services (CMS) implemented
the Two-Midnight rule. The rule states that Medicare inpatient payment
is appropriate only if a hospital stay is expected to last through at
least two midnights.

While the shift from inpatient to observation stays after the rule's
adoption has been previously reported, Sabrina Poon and colleagues
analyze 2007-2018 data using additional methods and conclude that the
shift is directly associated with the adoption of the rule; they note
that the shift occurred quickly and remained steady in subsequent years.

In a second article on hospitals, Marcelo Cerullo and coauthors found
that private equity acquisition of hospitals

was associated with a higher probability of adding profitable
hospital-based services, profitable technologies, and freestanding or
satellite emergency departments.

They also found that private equity acquisition was associated with
providing services that have more recently become areas of financial
opportunity.

For more content on health care spending, sign up for our new monthly
Considering Health Spending
newsletter.

Today on Health Affairs Blog, Katherine Ginsbach and coauthors discuss
how international health regulations

should be modified to improve future pandemic response.

Beth Beaudin-Seiler and coauthors introduce a new blog short series
,
"Enhancing Value By Evaluating Health Care Services."

Joseph Mattingly discusses historical lessons about the politics of drug
pricing reform
.

Ryan Koski-Vacirca and Arjun Venkatesh describe how the Department of
Health and Human Services can ensure that the No Surprises Act brings
tangible changes

to health care.

In a series about value assessment, Sarah Emond asks, Why is it so hard
for fair prices to lead to fair access
?

Advertise with Health Affairs this month to take advantage of our
November promotion. Sponsor one event and receive an exclusive
newsletter buyout for one week! Learn more about advertising
opportunities here.

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Your Daily Digest

Medicare Two-Midnight Rule Accelerated Shift To Observation Stays

Sabrina J. Poon et al.

Private Equity Acquisition And Responsiveness To Service-Line
Profitability At Short-Term Acute Care Hospitals

Marcelo Cerullo et al.

Beyond COVID-19: Reimagining The Role Of International Health
Regulations In The Global Health Law Landscape

Katherine F. Ginsbach et al.

Enhancing Value By Evaluating Health Care Services

Beth Beaudin-Seiler et al.

Kennedy, Kefauver, And Castro: A Historical Lesson On The Politics Of
Drug Pricing Reform

T. Joseph Mattingly II

Rulemaking For Health Care Affordability: Implementing The No Surprises
Act

Ryan Koski-Vacirca and Arjun Venkatesh

Fair Prices Should Lead To Fair Access: Why Is The Grand Bargain So
Hard?

Sarah K. Emond

Podcast: Susanna Trost On Addressing Perinatal Mental Health To Curb
Maternal Mortality

Alan Weil and Susanna Trost

[link removed]

Susanna Trost On Addressing Perinatal Mental Health To Curb Maternal
Mortality

Listen to Health Affairs Editor-in-Chief Alan Weil interview Susanna
Trost, an Oak Ridge Institute for Science and Education Fellow at the
Centers for Disease Control and Prevention, on addressing perinatal
mental health as a factor in maternal mortality.

Listen Here

 

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