Hospitals with more medically complex patients, uncompensated care, and patients who live alone are more likely to receive a penalty under CMS value-based payment programs, according to a new study calling for change to the programs. The study from the Federation of American Hospitals and Dobson DaVanzo and Associates, LLC suggests value-based payment programs like the Hospital…
DOWNLOAD SLIDES Learn about the types of analytics available in post-acute healthcare and how they’re being used by ACOs to: Build and sustain high-performing SNF networks Prevent hospital readmissions and adverse events Reduce total cost of care and Earn more shared savings Speaker: Janine Savage, RN, CHC Vice President, Product Management, Analytics and Business Intelligence…
Nationwide, accountable care organizations report that it’s becoming more challenging to do business and the stakes are higher than ever. They are taking on more financial risk as CMS shifts Medicare Shared Savings Program ACOs into downside or two-sided risk tracks. Meanwhile, patients are aging, chronic conditions are on the rise and more specialists are…
The notion that hospitals can reduce readmissions, and that punishing them for “excess” readmissions will get them to do that, became conventional wisdom during the 2000s on the basis of very little evidence. The Medicare Payment Advisory Commission (MedPAC) urged Congress to enact the Hospital Readmissions Reduction Program (HRRP) beginning in 2007, and in 2010…
The notion that hospital readmission rates are a “quality” measure reached the status of conventional wisdom by the late 2000s. In their 2007 and 2008 reports to Congress, the Medicare Payment Advisory Commission (MedPAC) recommended that Congress authorize a program that would punish hospitals for “excess readmissions” of Medicare fee-for-service (FFS) enrollees. In 2010, Congress…
Imagine the future when you go to your doctor to be treated for some sort of ailment. After collecting and entering key data into an app, she’s presented with a clinical diagnosis and optimal course of treatment, including the correct medications. While she’s there to talk “human-to-human” to the patient, it’s a predictive model and…
According to recent studies, it is expected that Medicare’s projected spending will be well over $1.5 trillion by the year 2028- that is more than double what the value was just two years ago! All Medicare asks from ACOs are better patient outcomes. Many ACOs have already reduced costs and thus saved Medicare approximately $1…
Does the care process end once the patient leaves the facility? Is the definition of a doctor limited to the four walls where a patient rarely spends the 16th minute? I could say without even thinking twice, the answer that would have come up in your mind is a clear ‘NO.’ We all can agree…
Care quality, disease management, and genetic makeup are core parts of patient health. However, stakeholders must also acknowledge that patient health is much more than medical interventions. This is especially true with value-based patient care taking hold and key concepts such as health equity emerging. Understanding the different components of health equity is the first…