Healthcare Reform News
9 HEALTH CARE REFORM CHANGES 2012
2012 kicks-off rapid changes to health care reform. Please share this with your management and staff.Read more... For more Healthcare Reform News
CMS TO PILOT VOLUNTARY SURGICAL QUALITY REPORTING FOR HOSPITALS
CMS invites hospitals to voluntarily report surgical outcomes on hospital compare beginning in 2012. The outcomes:Read more...
Week Of January 23, 2012
MEDICARE HOME HEALTH AGENCY UTILIZATION BY STATE
Curious about how much each state utilizes home care services? We have those numbers. Reimbursement, Number of Patients, Visits, Average Reimbursement, Average Visits Per Patients.Read more...
CBO: MOST MEDICARE DEMONSTRATION PROJECTS HAVEN’T SAVED MONEY
Most of the Medicare fee-for-service demonstration projects launched in the past two decades using disease management and value-based payments have failed to reduce costs, says a report by the Congressional Budget Office.Read more...
FORD, MICROSOFT TO DEVELOP DOCTOR IN YOUR CAR
Ford, Microsoft, Healthrageous and BlueMetal Architects will collaboratively develop new technology to help drivers monitor health and wellness while in their automobiles.Read more...
15 HEALTH SYSTEMS ACHIEVED SUPERIOR CLINICAL OUTCOMES
The top healthcare systems in the United States have lower 30-day mortality rates finds Thomson Reuters’ fourth annual study naming the top 15 health systems in the country.Read more...
32 PIONEER ACOs NAMED BY HHS
HHS announced the 32 organizations the agency selected from among 80 applicants to participate in the Pioneer accountable care organization model. Overseen by the CMS Innovation Center, the Pioneer ACO model will test the effects of several payment arrangements to support these groups in providing better care and outcomes at a lower cost, according to HHS.INDEPENDENCE AT HOME DEMONSTRATION FACT SHEET
The Independence at Home (IAH) Demonstration, authorized by Section 3024 of the Affordable Care Act, will test a service delivery model that utilizes physician and nurse practitioner directed primary care teams to provide services to certain Medicare beneficiaries in their homes.
MEDPAC APPROVES POST-ACUTE PAYMENT RECOMMENDATIONS
MedPAC, the committee that reports to Congress on Medicare, recommended long-term care hospitals, skilled nursing facilities and inpatient rehabilitation facilities receive a 0% market-basket update for fiscal year 2013; recommended a 1.0% update for the end-stage renal disease prospective payment system; and a 0.5% update for hospice providers.CMS Announces New Rules For Medicare Electronic Prescribing Initiative
CMS released a final rule modifying the Medicare Electronic Prescribing Incentive Program. Eligible physicians who fail to meet the program’s e-prescribing requirements or obtain an exemption will be subject to a 1% payment penalty beginning in January.
ENROLLMENT STILL GROWING IN MEDICARE ADVANTAGE PLANS
Enrollment in Medicare Advantage plans rose to 8.4 million beneficiaries in April 2011, about a 6 percent increase from April 2010, according to a report from the Government Accountability Office.
26 QUALITY MEASURES FOR MEDICAID ISSUED
The Department of Health and Human Services issued a final notice announcing an initial set of 26 quality measures for Medicaid-eligible adults for voluntary use by state Medicaid agencies.
The measures cover areas such as prevention and health promotion, management of acute and chronic conditions, care coordination, family experiences of care and availability. The Centers for Medicare & Medicaid Services and the Agency for Healthcare Research and Quality collaborated to...
Bundled Payment Concept Proves Difficult
The Rand study examined the first three years of one of the major efforts to test the concept of bundled payments: The PROMETHEUS Payment project launched by the Health Care Incentives Improvement Institute.
Launched in three communities (Crozer Keystone Health System-Independence Blue Cross in Pennsylvania; Employers’ Coalition on Health in Rockford, Illinois; and Priority Health-Spectrum Health in Michigan) and supported by the Commonwealth Fund and the Robert Wood Joh...
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Special Reports And Articles
Readmissions
A Nationwide Analysis Of 30-Day Readmits
( Nov/Dec 2011 Remington Report page 4)
Download Dartmouth Atlas Report (3.8 MB PDF)
Study: Home Care Following Hospitalization Cuts Cost
(Sept/Oct issue 2011 Remington Report page 4)
The use of home health care for chronically ill patients after they are discharged from the hospital can reduce Medicare spending and readmissions, according to released by Avalere Health LLC. The study found that home health care was association with a $2.81 billion reduction in Medicare Part A spending during a three-year period ending in 2009.Click here for study.
2012 OIG Work Plan
The Remington Report (November/December 2011) separated the OIG Work Plan 2012 into 2-parts. Part 1 looks at the OIG Plan for home care. Part 2 reviews the Plan with respect to how its scope intersects with home care and other providers across the health care delivery system.
Download the detailed 165-page 2012 OIG Work Plan Report (2.2 MB PDF)
Dual Eligibles
Will Medicare Become Responsible For Dual Eligibles?
ACOs
Remington’s Series On Accountable Care Organizations: Integration Of Post-Acute Services
By: Lisa Remington, Publisher, The Remington Report: Click Here
COLLABORATIVE MODELS - Special Reports
Health Care Reform: Collaborative Models Across Care Settings
Sponsored by Hill-Rom
Health Care Reform: Supply Management Systems Alignment
Sponsored by Medline