A former secretary of Health and Human Services and Utah governor believes Medicare is “drifting toward disaster,” requiring immediate attention from lawmakers on both sides of the aisle.
We all yearn for a time when value-based purchasing (and care) loses its originality. A time when motivations for providing excellent care and achieving excellent resident outcomes are aligned with reimbursement.
Long-term care providers have an opportunity to thrive with value-based care, escape cynicism and join the growing wave successful at avoiding readmissions.
Across healthcare, organizations are faced with the challenge of adapting long-standing workflows and care routines in order to succeed under new value-based care models.
When I think of the ongoing shift away from fee-for-service, I am reminded of its value. Whether anyone likes it or not, the era of value-based care is emerging.
The Centers for Medicare & Medicaid Services’ monthly Open Door Forum conference call for skilled nursing and long-term care stakeholders will discuss a blockbuster list of hot topics Thursday. The agenda includes a Payroll-Based Journal update, talk about SNF waivers for the CJR initiative, and Nursing Home Compare Quality Measure updates.
Healthcare organizations of all shapes and sizes are trying to figure out how to make the transition to a value-based world in a cost-efficient and timely manner. In fact, a recent McKnight’s article by John O’Connor raises this very issue.
Most nursing home administrators do not believe that pay-for-performance initiatives lead to improved resident care or stronger bottom lines, according to findings recently published in the Journal of Aging and Social Policy.
Why would anyone mention value-based reimbursement, medical necessity and the Jimmo lawsuit in the same sentence? I feel they are all related, but it will be difficult to find the perfect balancing act to maximize the benefits of each topic.
Long-term care providers have a stronger hook than they probably realize regarding the toughening of penalties for hospitals with high readmission rates.
