September 2018

Hospitals Find Bundled Payment Savings Through Attention to Nursing Care

Hospitals participating in Medicare’s Comprehensive Care for Joint Replacement model and its Bundled Payments for Care Improvement program are finding the savings the program seeks in part through greater attention to the post-acute-care needs of their patients. As a new study has found: One principal strategy was to reduce SNF referrals, using risk-stratification tools, patient education, home care supports, and linkages with home health agencies to facilitate discharges to home. Another was to enhance integration with SNFs: fifteen hospitals or health systems in our sample had formed networks of preferred SNFs to exert influence over SNF quality and costs. Learn [...]

2018-09-06T06:00:22-04:00September 6, 2018|Medicare|
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Ways and Means Releases Red Tape Report

The House Ways and Means Committee has released a report detailing its efforts to date to reduce red tape in the delivery of health care and to present steps it might take in the future to continue with that process. In the first stage of its red tape project, Ways and Means solicited stakeholder input and heard from nearly 300 stakeholder groups.  Next, it hosted roundtable discussions with various groups to review the issues they raised.  Now, following publication of its report, the committee plans to work in consultation with the administration to advance legislation to address some of the [...]

2018-09-05T06:00:30-04:00September 5, 2018|Uncategorized|
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Next Generation ACO Nets Savings

Medicare’s Next Generation Accountable Care Organization model saved taxpayers $62 million in 2016, or 1.1 percent of the spending of the participating organizations, the Centers for Medicare & Medicaid Services has announced. The program also reduced hospitalizations 1.3 percent. In all, 18 organizations participated in the model program in 2016.  Among them, four organizations accounted for more than half of the savings. In 2015, 45 organizations participated in the model and 51 are participating this year.  Under the Next Generation ACO model, participants assume greater financial risk for their performance than under other Medicare models but also are eligible to [...]

2018-09-04T06:00:50-04:00September 4, 2018|Accountable Care Organization, ACO, Medicare|
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