Jul 17, 2020 - Health

Judge rules hospital outpatient payment cuts are valid

Photo: John Moore/Getty Images

A panel of federal judges upheld the Trump administration's cuts to Medicare payments for routine medical visits in a hospital outpatient office — a blow to the hospital industry, which will lose hundreds of millions of dollars annually.

The big picture: Hospitals last year successfully quashed a similar rule, which would have equalized Medicare's pay rates for basic doctor visits, regardless of whether they took place in a hospital-owned or independent clinic. The American Hospital Association said in a statement it is "carefully reviewing the decision to determine our next steps."

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Axios Events
Updated Aug 4, 2020 - Axios Events

Watch: How hospitals have responded to the pandemic

On Tuesday, August 4 Axios health care reporter Caitlin Owens hosted a virtual event on how hospitals have been responding to the coronavirus pandemic, from getting PPE to building the future of resilient health systems, featuring Atrium Health CEO Eugene Woods, K Health co-founder & CEO Allon Bloch and Columbia University Medical Center professor and FemInEm founder Dr. Dara Kass.

Allon Bloch argued that a rise in the usage of telemedicine presents an opportunity for people to reimagine how the U.S. health care system can be more efficient and cost-effective.

  • On integrating more data analysis into medicine: "There's a massive opportunity to give people a much more nuanced approach to medicine, a much more personalized one, based on information [from] their own personal history or from similar situations...It's a little bit overlooked in medicine."
  • On how telemedicine can positively impact the health care system: "There's a lot of people that are either not insured or underinsured. They have really high deductibles. They can't afford doctors...[telemedicine] can give people access to really high quality primary care at a much lower cost."

Eugene Woods discussed his company's "virtual hospitals" and how this model has the potential to reduce overflow into physical hospitals.

  • On his company's "virtual hospital" treating COVID-19 patients: "We've treated about 13,000 patients in our virtual hospital and only three percent have had to be transferred or admitted from the virtual hospital into [a physical] hospital."
  • On reducing disparities in COVID-19 testing: "[Coronavirus] has laid bare the racial disparities that have existed in these communities for decades...Back in March, we realized there were disparities in terms of testing. So we have roving medical vans and went into those [affected] communities. We so far have hit about 55 different community host sites."

Dr. Dara Kass unpacked her experience of working in the ICUs in New York City during the initial COVID-19 outbreak, and how safety measures like masks and social distancing impacted the rate and spread of the virus.

  • How wearing masks reduces the volume of COVID-19 patients coming to the ICU: "We saw the effects of our work of social distancing and wearing masks as early as April take effect pretty dramatically...We also saw the peak come down as almost as quickly as it went up."
  • How this crisis compounds existing gender inequities: "Our child care crisis was bad before, pay inequity was bad before — it's exacerbated by this at this moment. We're worried about frontline healthcare workers now, not even being able to go back to work because of the fact that child care will be inaccessible and schools are probably not going to open."

Thank you Philips for sponsoring this event.

Axios
Updated 6 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Aïda Amer/Axios

  1. Global: Total confirmed cases as of 9 p.m. ET: 20,755,406 — Total deaths: 752,225— Total recoveries: 12,917,934 — Map.
  2. U.S.: Total confirmed cases as of 9 p.m. ET: 5,246,760 — Total deaths: 167,052 — Total recoveries: 1,774,648 — Total tests: 64,831,306 — Map.
  3. Politics: House Democrats to investigate scientist leading "Operation Warp Speed" vaccine project — McConnell announces Senate will not hold votes until Sept. 8 unless stimulus deal is reached.
  4. 2020: Biden calls for 3-month national mask mandate — Biden and Harris to receive coronavirus briefings 4 times a week.
  5. States: Georgia Gov. Brian Kemp to drop lawsuit over Atlanta's mask mandate.
  6. Business: Why the CARES Act makes 2020 the best year for companies to lose money.
  7. Public health: Fauci's guidance on pre-vaccine coronavirus treatments — Cases are falling, but don't get too comfortable.
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Jacob Knutson
6 hours ago - Politics & Policy

Trump says he intends to give RNC speech on White House lawn

President Trump speaking to reporters on South Lawn in July. Photo: Jabin Botsford/The Washington Post via Getty Images

President Trump told the New York Post on Thursday that he plans to deliver his Republican National Convention speech from the White House lawn, despite bipartisan criticism of the optics and legality of the location.

Why it matters: Previous presidents avoided blurring staged campaign-style events — like party conventions — with official business of governing on the White House premises, per Politico.

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