Report: Complex care management can succeed, reduced Medicare SNF expenditures 64% in one instance

Report: Complex care management can succeed, reduced Medicare SNF expenditures 64% in one instance


Well-designed programs to coordinate care for patients with complex needs can reduce Medicare expenditures, including skilled nursing facility costs, according to an issue brief released Thursday by The Commonwealth Fund.

Panel slams fee for service


The predominance of fee-for-service payment methods is the greatest barrier to improving efficiency in the nation's healthcare system, according to a May 29 report from a panel of White House advisors. The President's Council of Advisors on Science and Technology criticized the FFS payment model because it focuses on the volume of services provided rather than on better outcomes.

Obama advisors urge faster shift to value-based reimbursement of healthcare providers


Fee-for-service payment methods are the greatest impediment to an efficient healthcare system by incentivizing volume instead of better outcomes, advisors declared last week in a report to President Obama.

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


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.

Managed care holds opportunities for SNF, experts say

Managed care holds opportunities for SNF, experts say


As states expand enrollment in managed care plans, operators should focus on quality improvement, according to panelists at a National Investment Center for the Seniors Housing and Care Industry session.

Lack of documentation accounts for Medicare fee-for-service error rate

Medicare's fee-for-service error rate for fiscal 2010 would have fallen if compliance contractors had successfully obtained better claims documentation, a federal report found.

Report: Correcting Medicare Advantage overpayments could save billions

Correcting overpayments in the Medicare Advantage program could save the federal government billions of dollars, according to a new Government Accountability Office report.

Response to bipartisan Medicare overhaul falls along party lines

A Medicare reform proposal touted as a "premium support" plan has drawn criticism from the White House, other Democrats and Medicare advocates.

Analysis: Focus on quality of care, not geographic variances to justify Medicare reforms

Policy makers should focus less on geographic variances and more on the quality of care when working on Medicare payment reform, a new analysis finds.

CMS uses new, stricter standards in calculating improper Medicare payment rates, agency says

The Centers for Medicare & Medicaid Services said Wednesday it has improved calculations of improper Medicare payment rates for 2009.

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