Provider organizations may be tempted to take the recent cue from Washington to retreat from bundled payments and value-based models more broadly, returning more squarely to the traditional fee-for-service model. That would be a mistake.
Shifting the focus from the volume of services provided to the patient outcomes achieved is remarkably beneficial to both parties.
The Centers for Medicare & Medicaid Services Bundled Payment for Care Improvement program is well underway with hundreds of providers already in the risk-bearing phase and thousands more in the midst of finalizing their risk-bearing program participation decisions.
Long-term care leaders on Monday called a first-ever federal timeline for greater levels of bundled and other alternative payments "aggressive" but "a good thing."
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.
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.
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 announcesJanuary 31, 2014
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 showsJanuary 27, 2014
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 reformsAugust 20, 2013
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.
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.
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.
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.
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 argueMay 09, 2013
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.
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.
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.
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.
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.
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.
Regulators say they are delaying implementation of one of the Affordable Care Act's bundled payment initiatives due to low applicant turnout.
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.
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.
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.
Anne Tumlinson made a startling revelation about hospital discharges during a recent McKnight's webcast.
Provider groups are pushing Congress to replace the formula Medicare uses to reimburse physicians and eliminate other regulatory burdens.
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.
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.
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.
Gainsharing and caring for dual eligibles are hot topics for healthcare providers — and rightfully so — experts said Thursday.