Bundled Payments

Skyrocketing spending on post-acute care shows need for large bundled payment groups, researchers argue

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Post-acute care was the fastest growing major healthcare spending category for government programs between 1994-2009, according to recently released research. The results support large-scale bundled payments as a way to control costs, the researchers argued.

Murray, Ryan begin budget negotiations as long-term care providers analyze White House plan

Murray, Ryan begin budget negotiations as long-term care providers analyze White House plan By

Rep. Paul Ryan (R-WI) and Sen. Patty Murray (D-WA) met Wednesday to discuss budget negotiations. The architects of the House and Senate budgets had a "constructive discussion" and are "working to find common ground," according to a joint statement. Medicare funding is one major roadblock to an agreement.

Bundled payment groups should replace fee-for-service, physician pay commission says

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The current fee-for-service healthcare model should be replaced with bundled payment systems that encourage more coordinated care, the National Commission on Physician Payment Reform said in a report released Monday.

Data sharing a major benefit of bundled payment groups, Medicare administrator says

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Increased coordination among acute and post-acute providers has reduced rehospitalization rates, signaling that healthcare reform is working, a senior Medicare official told the Senate Finance Committee on Feb. 28.

CMS needs to re-evaluate heart attack payment structure, AHA argues

CMS needs to re-evaluate heart attack payment structure, AHA argues By

The Centers for Medicare & Medicaid Services should exclude certain patients, including those in hospice and or with end-stage renal disease, when evaluating the payment structure for heart attacks, the American Hospital Association proposed in a letter Tuesday.

Minnix: Providers need to innovate to stay in business

Minnix: Providers need to innovate to stay in business By

The current policies of the Affordable Care Act push innovation, which is crucial to the success of the long-term care industry, LeadingAge President and CEO Larry Minnix told McKnight's.

Not enough applicants: CMS stalls bundled payment initiative

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Regulators say they are delaying implementation of one of the Affordable Care Act's bundled payment initiatives due to low applicant turnout.

Experts push more bundled pay initiatives to curb healthcare spending

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In a set of recommendations published in the New England Journal of Medicine on Wednesday, authors of a new report urge the federal government to accelerate the adoption of fee-for-service alternatives such as bundled payment programs.

Time to put data into your hospital relationships

Time to put data into your hospital relationships By

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.

Affordable Care Act laws targeting elderly could harmful consequences, study suggests

Affordable Care Act laws targeting elderly could harmful consequences, study suggests By

Three Affordable Care Act initiatives often touted as coordinating care and improving outcomes for elderly adults could actually make their circumstances worse, a new study suggests.

If you feel like a number now, just wait

If you feel like a number now, just wait By

Anne Tumlinson made a startling revelation about hospital discharges during a recent McKnight's webcast.

Healthcare leaders press Congress for Medicare reimbursement reform

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Provider groups are pushing Congress to replace the formula Medicare uses to reimburse physicians and eliminate other regulatory burdens.

TN providers team up with insurers for bundled payment program for joint replacements

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In anticipation of payment reforms centering on coordinated care, health systems and a major Tennessee insurer are establishing a bundled payment system for joint replacements.

Healthcare waste accounts for a third of all spending, government official says

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With healthcare waste taking up to a third of all healthcare costs, reducing waste and fraud remain primary goals of the Office of the Inspector General, the head of the agency said Monday.

CMS releases list of 27 ACOs

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Physicians largely lead the first group of Medicare Shared Savings accountable care organizations, but long-term care facilities will be an integral part of their future success, a Centers for Medicare & Medicaid Services official said Tuesday.

Bundled payments and dual-eligibles bring opportunities to long-term care operators, experts say

Bundled payments and dual-eligibles bring opportunities to long-term care operators, experts say

Gainsharing and caring for dual eligibles are hot topics for healthcare providers — and rightfully so — experts said Thursday.

MedPAC mulls bundled payments, changes to therapy cap exceptions process

MedPAC mulls bundled payments, changes to therapy cap exceptions process

The bundling of payments to post-acute providers and an overhaul of the therapy caps exception process were just two of the Medicare changes that the Medicare Payment Advisory Commission (MedPAC) floated last week.

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