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This April 16 webinar explains how automated inbound interactive voice response lowers operating expenses and optimize collection.
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Washington: Recent reports from the Office of Inspector General focusing on skilled nursing facilities highlight readmissions and never events as performance improvement opportunities.
Learn what action steps hospitals should consider in preparing for RAC extrapolation.
The July 2011 report by the CMS actuaries contains good news and bad news—depending on one’s perspective.
One organization’s long experience as an accountable care organization shows that accountable care can be successful, not only in improving population health, but also financially.
If Congress decides to retain an RBRVS type payment system, it will need to consider whether it wants to modify the SGR in some way rather than remove it entirely.
Brent James, MD, chief quality officer at Intermountain Healthcare, says using data-driven performance improvement grounded in shared values is “just good management.”
The Issue The Medicare value based purchasing program is an initiative described in the Affordable Care Act whose purpose is to provide a practical means to reduce costs to the nation’s healthcare system while improving quality of care.
The proposed Medicare Shared Savings rule makes ACOs more tangible for providers, but it also contains a few surprises.
The Medicare value-based purchasing (VBP) program is an initiative described in the Affordable Care Act whose purpose is to provide a practical means to reduce costs to the nation’s healthcare system while improving quality of care. Hospitals that achieve the highest total performance scores (TPSs) under this program’s scoring methodology can earn incentive payments for performance excellence.
One study suggests that success under the Medicare value-based purchasing program may correlate with higher expenditures on routine services that impact patient satisfaction.
The Centers for Medicare & Medicaid Services list of hospital acquired conditions for FY10.
CMS is renewing efforts by its contractors to enforce compliance with signature guidelines.
New flu, obesity V codes are among the ICD-9-CM changes for FY11.
The HHS Office of Inspector General is focusing on readmissions. Hospitals that have excessive readmissions may see reduced payments under the Hospital Readmissions Reduction Program.
Recent pressures from the Medicare RACs and various third-party payers have increased the sense of urgency that hospital leaders feel about getting observation programs established.
The long and winding road toward accountable care has not been without bumps, but accountable care organizations constitute a bona fide, inexorable trend that should pick up steam in the years ahead.
Publicly available data from Medicare can help hospitals benchmark their experience against the experiences of their peers to identify unexpected variations and opportunities for improvement.
Providers applying to participate in the CMMI Bundled Payments for Care Improvement initiative need to understand the program and the opportunities and risks associated with participation.
CMS's approach for determining whether a hospital qualifies for incentive payments under the Value-Based Purchasing program is intricate, but it may not produce a fully reliable comparative measure.
Very little has been written about the enormity of the challenges facing CMS in terms of implementing the new Medicare Prescription Drug, Improvement, and Modernization Act.
Additional statistics supplementing an article in the December 2007 issue of hfm magazine.
Improving the quality and cost of health care requires an ongoing commitment that would start in areas where we have better clinical information, such as hospitals.
Restoration-or reengineering? With its 2004 changes to the inpatient rehabilitation classification, CMS rocked the rehab world, and the impact is still being felt today.
Glenn Hackbarth, chairman of the Medicare Payment Advisory Commission, shares his thoughts about the cost-effectiveness of preventive care initiatives and other issues related to Medicare.
All those wanting to be part of the Medicare payment by episode demonstration (aka bundled payment), come on down! And bring your data and signatures.
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