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Sunday, Jul 23, 2017
  • Contact Information
  • We are located in the BioTech One building of the VA Bio•Technology Research Park.

    Address:
    SMA Informatics
    800 E. Leigh Street
    Suite 206-14 Building One
    Richmond, VA 23219

    Phone: (804) 344-8111
    FAX: (804) 344-8113

    Web: www.smainformatics.com
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Last Modified: May 10, 2016
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News Item - 07/20/2017
New CDC report: More than 100 million Americans have diabetes or prediabetes
More than 100 million U.S. adults are now living with diabetes or prediabetes, according to a new report released today by the Centers for Disease Control and Prevention (CDC). The report finds that as of 2015, 30.3 million Americans – 9.4 percent of the U.S. population –have diabetes. Another 84.1 million have prediabetes, a condition that if not treated often leads to type 2 diabetes within five years.

The report confirms that the rate of new diabetes diagnoses remains steady. However, the disease continues to represent a growing health problem: Diabetes was the seventh leading cause of death in the U.S. in 2015. The report also includes county-level data for the first time, and shows that some areas of the country bear a heavier diabetes burden than others.

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News Item - 07/14/2017
Medicare Trustees Report shows trust fund solvent through 2029
On July 13th, the Medicare Trustees projected that the trust fund financing Medicare’s hospital insurance coverage will be depleted in 2029, one year later than projected in last year’s report. Lower spending in 2016, lower projected inpatient hospital utilization and slightly better projected hospital insurance deficit in 2017 than in 2016 were the contributing factors to the extended solvency projection. Further, because spending levels in Medicare did not exceed its targets, the Independent Payment Advisory Board (IPAB), set up by the Patient Protection and Affordable Care Act (ACA), was not triggered.

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News Item - 07/07/2017
Invasive Cancer Incidence, 2004–2013, and Deaths, 2006–2015, in Nonmetropolitan and Metropolitan Counties — United States
Previous reports have shown that persons living in non-metropolitan (rural or urban) areas in the United States have higher death rates from all cancers combined than persons living in metropolitan areas. Disparities might vary by cancer type and between occurrence and death from the disease. This report provides a comprehensive assessment of cancer incidence and deaths by cancer type in non-metropolitan and metropolitan counties.

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News Item - 06/28/2017
An Analysis of Hospital Prices for Commercial and Medicare Advantage Plans
Prices for hospital admissions have received considerable attention in recent years, both because they are an important component of health care spending and because they can vary widely. In this presentation, we use 2013 claims data from three large insurers to examine the hospital payment rates of those insurers in their commercial plans and their Medicare Advantage plans and compare them with Medicare’s fee-for-service (FFS) rates; we also examine the variation of those rates across and within markets.

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Presentation PDF.
News Item - 06/28/2017
An Analysis of Private-Sector Prices for Physician Services
Physicians’ services account for a substantial portion of health care spending in the United States, but research on the prices private insurers pay for those services has been limited. Using 2014 claims data from three major insurers, we analyzed the prices paid for 21 common services and compared them with the estimated amounts that Medicare’s fee-for-service (FFS) program would pay.

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Presentation PDF.
News Item - 06/23/2017
The Senate released its draft of a bill to replace the ACA on June 22, 2017. 
The Congressional Budget Office is expected to score the bill by early next week.  To read the text of the bill, visit https://www.budget.senate.gov/imo/media/doc/SENATEHEALTHCARE.pdf

The Washington Post offers a detailed comparison between the ACA, the proposed House bill and the proposed Senate bill: https://www.washingtonpost.com/graphics/2017/politics/obamacare-senate-bill-compare/?utm_term=.1e277372d3c2
News Item - 06/15/2017
3 Million Children Would Lose Coverage Under House Health Bill
The American Health Care Act (AHCA) would cause 23 million people of all ages and income levels to lose health insurance by 2026.

About 3 million children would lose coverage under this House-passed bill, increasing the uninsured rate for children by about 50 percent.

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News Item - 05/01/2017
Comprehensive Government Funding Bill Released
The House Appropriations Committee today released the fiscal year 2017 Omnibus Appropriations bill, the legislation that will provide discretionary funding for the federal government for the current fiscal year.

The bill includes full Appropriations legislation and funding for the remaining 11 annual Appropriations bills through the end of the fiscal year, September 30, 2017. This level meets the base discretionary spending caps provided by the Bipartisan Budget Act of 2015, and provides additional funding for national defense, border security, and other emergency needs.

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News Item - 04/28/2017
Health Care In America: An Employment Bonanza And A Runaway-Cost Crisis
In many ways, the health care industry has been a great friend to the U.S. economy. Its plentiful jobs helped lift the country out of the Great Recession and, partly due to the Affordable Care Act, it now employs 1 in 9 Americans - up from 1 in 12 in 2000.

As President Donald Trump seeks to fulfill his campaign pledge to create millions more jobs, the industry would seem a promising place to turn. But the business mogul also campaigned to repeal Obamacare and lower health care costs - a potentially serious job killer. It’s a dilemma: One promise could run headlong into the other.

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Kaiser Health News, a nonprofit health newsroom whose stories appear in news outlets nationwide, is an editorially independent part of the Kaiser Family Foundation.
News Item - 04/16/2017
Public Use File
The Centers for Medicare & Medicaid Services (CMS) has developed a public use file that enables researchers and policymakers to evaluate geographic variation in the utilization and quality of health care services for the Medicare fee-for-service population.  The Geographic Variation Public Use File includes demographic, spending, utilization, and quality indicators at the state level (including the District of Columbia, Puerto Rico, and the Virgin Islands), hospital referral region (HRR) level, and county level.

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News Item - 06/28/2017
An Analysis of Hospital Prices for Commercial and Medicare Advantage Plans
Prices for hospital admissions have received considerable attention in recent years, both because they are an important component of health care spending and because they can vary widely. In this presentation, we use 2013 claims data from three large insurers to examine the hospital payment rates of those insurers in their commercial plans and their Medicare Advantage plans and compare them with Medicare’s fee-for-service (FFS) rates; we also examine the variation of those rates across and within markets.

Continue reading...
Presentation PDF.
News Item - 06/28/2017
An Analysis of Private-Sector Prices for Physician Services
Physicians’ services account for a substantial portion of health care spending in the United States, but research on the prices private insurers pay for those services has been limited. Using 2014 claims data from three major insurers, we analyzed the prices paid for 21 common services and compared them with the estimated amounts that Medicare’s fee-for-service (FFS) program would pay.

Continue reading...
Presentation PDF.
FY2018 Medicare Hospital IPPS
Fiscal Year (FY) 2018 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long Term Acute Care Hospital (LTCH) Prospective Payment System Proposed Rule, and Request for Information CMS-1677-P
On April 14, 2017, the Centers for Medicare & Medicaid Services (CMS) today issued a proposed rule that would update 2018 Medicare payment and polices when patients are admitted into hospitals. The proposed rule aims to relieve regulatory burdens for providers; supports the patient-doctor relationship in health care; and promotes transparency, flexibility, and innovation in the delivery of care.

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Understanding MS-DRG Grouping under ICD-10
Understanding MS-DRG Grouping under ICD-10
Now that ICD-10 is in full swing, we are seeing a lot of activity with providers, payers, consultants and regulators who need to understand how Acute Inpatient and Long Term Care Hospital claims "behave" when the claim is coded in ICD-10. This includes both prospective and retrospective review of claims scenarios to understand MS-DRG grouping. This article offers a basic primer on MS-DRG grouping logic, and research techniques for using related MediRegs Coding Suite tools. If you'd like a personalized training on these tools, or a demonstration of them in action to see if they are a good fit for your research scenarios, please let us know!

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SMA White Paper - 08/31/2015
OVERVIEW OF THE FY 2016 IPPS FINAL RULE: SUMMARY OF CALCULATION ELEMENTS
New Health Analytics, a national  healthcare software developer and data analytics firm, is pleased to announce that it has released a special report with an concise  review of the FY 2016 Hospital Inpatient Prospective Payment System (IPPS) Final Rule recently posted by the Centers for Medicare & Medicaid Services.

Read the paper...
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