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Did you know that purchasers can often achieve better deals on cardiac rhythm management (CRM) devices with bulk purchases and market share agreements?
However, before committing to a bulk purchase it’s important to ensure that your volume warrants such an agreement. When multiple models are purchased, language needs to be inserted into the agreement allowing for less frequently used models to be exchanged for ones of the same price but with higher usage. Also ensure the agreement states that CRMs are to be delivered on an as-used/needed basis to prevent items from remaining on the shelf for long periods of time.
When looking to enter into a market share agreement, all implanting physicians need to be on board. This guarantees that you will have the products required for your patient population. Also, having the physicians aligned with your purchasing strategies can help with your negotiation leverage.
In terms of reimbursements, most CRM procedures have seen an increase this year compared to 2012. In particular, for the inpatient setting, rates for pacemaker revision have increased by 7.659 percent between 2012 and 2013, while a cardiac defibrillator implant with a cardiac cath with MCC saw a small increase of 1.004 percent. For 2014, the CMS’s proposed hospital impatient rules for these two codes are expected to increase even more at 4.26 percent and 12.92 percent, respectively. In general, the outpatient setting has seen reduced reimbursement this year.
Source: MD Buyline
Publication Date: Monday, July 29, 2013
Tom Myers, chief strategy officer, The SSI Group, discusses the shifting payment environment and how it affects providers' patient access and claims management processes.
Jeff Chester, senior vice president and chief revenue officer at Availity, shares his thoughts on "Revenue Cycle 2.0" and how to best meet its challenges.
Mitch Morris, vice chair and global leader, healthcare, Deloitte, and Michael O'Rourke, senior vice president and chief information officer, Catholic Health Initiatives (CHI), share perspectives on the need for transformational IT in health care today.
Brian Kueppers, founder and CEO, Apex, discusses the importance of a robust patient payment strategy in boosting organization revenue and enhancing patient satisfaction.
Brian Grazzini, CFO, HealthPort, describes the importance of efficient and compliant information exchange and audit management in helping HIM staff spend less time on paperwork and more on mission-critical projects.
Cindy Matthews, executive vice president, Community Hospital Corporation, discusses how rural and community hospitals can use collaborative partnering to position for success through tough market conditions.
Rick Heise, senior vice president, revenue cycle, at Cerner Corporation, discusses the importance of integrating clinical and financial data to excel in health care’s changing payment environment.
Russ Graney, founder and CEO for Aidin, and John Laursen, head of business development for Aidin, share insights on how to improve care transitions between acute and post-acute care settings and incentivize high-quality patient outcomes.
Scott Elston, strategic accounts manager, GE Healthcare Services, describes how substantial cost reduction in health care requires rethinking business strategy and asset use.
Robert Williams, MD, director, Deloitte Consulting LLP, and Arielle Freiberger, product strategist, ConvergeHEALTH by Deloitte, explain how sophisticated retrospective, real-time, and predictive data analytics can inform decision making to reduce costs and improve care.
Stuart Hanson, director of business development (healthcare solutions) at Citi Retail Services, discusses how improving the payment experience can benefit consumers and healthcare providers.
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