Hospitals with Health Equity Factors Face Value-Based Penalties

July 6, 2023acohealth equity, hospital, hospital readmissions

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…

RECORDED WEBINAR: Post-Acute Analytics – What’s in It for My ACO?

August 31, 2021Garrett SchmittNo CommentsACO, ACOs, cost of care, hospital readmissions, post-acute analytics, Shared Savings, SNF, SNF networks, SNFs, total cost of care, Webinar, webinars

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…

To combat readmissions and network leakage, ACOs need real-time data that supports network visibility

June 21, 2021Garrett SchmittNo CommentsACOs, CMS, Data, hospital readmissions, MSSP, network leakage, network visibility, networking, Readmissions

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…

How are hospitals supposed to reduce readmissions? Part II

October 1, 2019Garrett SchmittNo CommentsHHRP, hospital readmissions, MedPAC, Readmission, Readmissions

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…

How Are Hospitals Supposed to Reduce Readmissions? | Part I

September 24, 2019Garrett SchmittNo CommentsACA, hospital readmissions, MedPAC, Readmission, Readmissions

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…

Artificial Intelligence – The Doctor Will See You Now

September 23, 2019Garrett SchmittNo CommentsAI, Artificial Intelligence, hospital readmissions

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…

Seven strategies ACOs use for better patient outcomes and lower costs

August 22, 2019Garrett SchmittNo Commentshospital readmissions, Readmission

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…

Standardization in an Era of Personalized Care: Opportunities to Reduce Avoidable Readmissions

November 21, 2018Garrett SchmittNo Commentshospital readmissions, Readmission, Readmissions, standardization

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…

Understanding Health Equity in Value-Based Patient Care

August 30, 2017acohealth equity, hospital, hospital readmissions

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…

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