Bundled Payments

The tie between revenue and risk managment

The tie between revenue and risk managment

By providing the best level of care, a provider will help ensure resident satisfaction as well as foster a positive work environment for employees. Poor quality will affect a provider's revenue stream.

Jonathan Blum, who oversaw long-term care reforms, resigns as head of Medicare

The nation's top Medicare official, Jonathan Blum, is leaving his post next month, news outlets reported Tuesday. Blum became a familiar figure to long-term care providers through Open Door Forum calls and other outreach efforts during his five-year tenure, as he guided implementation of Medicare reforms under the Affordable Care Act.

CMS calls for additional participants in post-acute bundled payments programs

By

The Centers for Medicare & Medicaid Services has issued a call for additional providers to take part in a bundled payment program that involves post-acute care.

Long-term care providers are participating in 'most ambitious test' of bundled payments, CMS announces

Long-term care providers are participating in 'most ambitious test' of bundled payments, CMS announces

By

Skilled nursing facilities and home health agencies are among 232 healthcare providers that have entered into agreements to take part in the Bundled Payments for Care Improvement initiative, the Centers for Medicare & Medicaid Services announced Thursday.

Post-acute Medicare spending varies by location and how an episode of care is defined, CMS report shows

By

A Medicare expenditure for an episode of post-hospital care in 2008 ranged from about $5,700 to $14,500, depending on how the episode was defined, according to a new report from the Centers for Medicare & Medicaid Services.

Provider groups respond to Congressional request with detailed recommendations on post-acute reforms

Provider groups respond to Congressional request with detailed recommendations on post-acute reforms

By

Major long-term care provider groups have offered detailed policy recommendations on reforms to the post-acute care delivery and payment systems, as requested by Congressional lawmakers. In addition to offering recommendations on a host of topics, the groups stressed that Congress should evaluate information coming out of current demonstration projects and models before enacting any radical changes.

Acute, post-acute bundled payments are 'readily achievable,' report finds

By

Current patient classification systems could form the basis of a successful bundled payment program for acute and post-acute care, according to a recently published article in the Medicare & Medicaid Research Review.

Draft legislation proposes SNF readmissions penalties, bundled payments

Draft legislation proposes SNF readmissions penalties, bundled payments

By

Proposed legislation from the House of Representatives would decrease skilled nursing facilities' Medicare rate updates, introduce new post-acute payment systems and institute readmissions penalties for SNFs. The House Ways and Means Committee is accepting comments on the discussion draft through Aug. 30.

Case for bundled pay made

By

Large-scale bundling of government reimbursements is needed, say researchers who have studied the topic. Post-acute care was the fastest growing major healthcare spending category for government programs between 1994-2009, according to Harvard University researcher Amitabh Chandra, Ph.D., and co-authors.

Engaging ER physicians the way to go for long-term care

Engaging ER physicians the way to go for long-term care

By

Healthcare journalists may have fallen inadvertently into triggering a Pavlovian response in our readers: We write "hospital readmissions" and you click.

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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.

Don't miss any McKnight's news