CMS announces new Accountable Care Organization model ... Drugmaker reaches $31 million settlement, resolving charges that it paid kickbacks to long-term care pharmacies ... People prefer institutional long-term care if they need more help with daily living activities ... First-of-its-kind guidelines recommend pneumococcal vaccine to prevent COPD exacerbations
What strategies should a provider adopt in order to be on the "A" list as a preferred provider of short-stay and transitional care services in today's ever-changing and challenging marketplace? And are you on the "A" list of preferred providers in your community?
Accountable care organizations were created to promote better care and better health for individuals and populations at a lower cost. They must identify providers that excel in areas not covered by ACOs themselves. In addition, providers must be accountable for their patients' health, along with ACOs. That means providers have the financial incentives to do only what is absolutely needed.
Variation and growth in post-acute care spending has earned PAC a spot on hospital and health systems' priority list for cost-saving opportunities. The success of new care delivery models — particularly hospital-driven bundles and accountable care organizations — also is dependent on reduced utilization and episodic cost management in non-hospital settings.
Consolidation, a fact of life in today's healthcare industry, is prevalent in the long-term care arena as well. Locally and regionally, nursing homes, assisted-living facilities and home- and community-based service agencies are joining forces to share resources and achieve operating efficiencies.
For patients in a participating ACO, one of the initial improvements for facilities will be the assignment of a care manager to guide and support them through the ACO experience. The care manager may be a Triple Aim committed primary care physician or ACO professional who takes responsibility for coordinating care plans. A key component of the ACO / Triple Aim experience is the demonstration of improved outcomes for each patient and the ACO population as a whole.
Without solid research about how discharged hospital patients fare in various post-acute settings, cautious doctors are ordering more intensive and expensive care than is needed, according to medical experts writing in the Harvard Business Review.
COMS Interactive has added two clients. Kairos, a group purchasing network with more than 100 facilities, and Torrance Memorial Medical Center's Transitional Care Unit have both selected COMS' Daylight IQ™.
Providers can learn the best practices to jump into an accountable care organization in "Ensuring Your Place in an Accountable Care Network. This webinar will be at 1 p.m. Eastern Time on Thursday, Aug. 8.
Long-term care providers must have a collaborative mindset if they want to join an accountable care organization, according to a panel of experts at the LINK LTC & Senior Living Conference. Top executives from the payer organizations discussed ideal characteristics of ACO partners.
If you hang around long enough, you learn there are only two things long-term care providers fear after Republicans and Democrats. That would be hospitals and doctors.
Data collected by a management consulting firm showed that approximately 2.4 million Medicare beneficiaries received care via different Medicare ACO programs run by the Centers for Medicare & Medicaid Services.
One of the first care coordination demonstration projects for Medicare beneficiaries achieved significant provider savings for dually eligible Medicare and Medicaid beneficiaries, a new analysis found.
Bundled payments mean that you can't escape the numbers. Hospitals want the data on why you're the best choice for post-acute care.
Despite a somewhat rocky start, Medicare beneficiaries have been supportive of accountable care organizations, a government official said.
A top nursing home industry executive made a case against Medicare cuts and in favor of payment and delivery reforms in long-term and post-acute care in a Senate hearing Wednesday.
Nursing homes take care of 1.5 million residents each year. They pump more than $100 billion into the nation's economy. In many communities, they are the largest source of jobs. But as far as the Centers for Medicare & Medicaid Services is concerned, nursing facilities are little more than the help.
We're hearing a lot about the looming world of accountable care organizations, or ACOs, especially with Monday's unveiling of the 32 "pioneer" organizations. Odds are you have a lot of work to get ready.
Nursing homes are at their core residential communities for the elderly.
One of the highlights of the American Association of Homes and Services for the Aging conference came near the end—during a panel discussion about the impact of midterm elections on healthcare reform.
To survive in the not-so-distant future, nursing homes will have to find a role within accountable care organizations.