© Remington Group - RemingtonReport.com

Remington Report | Logo

CEO Resources

Resources to Drive Performance and Profitability:

Home-Based Medical Care: The Top Six Types Of Providers

The top six types of providers who provided home-based medical care (non-podiatry) in both 2012 and 2013 were physicians in internal medicine, family practice, geriatric medicine, or general practice; nurse practitioners; and physician assistants – providers we termed primary care providers.

Seven Key Things You Should Know About the MACRA

MACRA is a transformative law that builds a new, fast-speed highway to take the health care system away from the fee-for-service system and toward new risk-bearing, coordinated care models. “Once the program is up and running, physicians can pick one of two routes that will determine how they...

Physician Transformation Models – What Are MIPS and APMs?

CMS released the first major regulation under MACRA, setting forth the new rules under this game-changing law. For now, only physician offices – not hospitals – are governed by MACRA rules. CMS published a rule on Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models...

Readmission Risks After Surgical Procedures

Older adults are at increased risk for adverse events after surgical procedures. Loss of independence (LOI), defined as a decline in function or mobility, increased care needs at home, or discharge to a non-home destination, is an important patient-centered outcome measure. “Readmission...

Rehab Hospitals Adverse Events 29%, OIG

An estimated 29 percent of Medicare beneficiaries experienced adverse or temporary harm events during their rehabilitation hospital stays, resulting in temporary harm; prolonged stays or transfers to other hospitals; permanent harm; life-sustaining intervention; or death, according to a new report...

Largest Value-Based Comprehensive Primary Care Model Launched

Comprehensive Primary Care Plus (CPC+) is a national advanced primary care medical home model that aims to strengthen primary care through a regionally-based multi-payer payment reform and care delivery transformation. CPC+ will include two primary care practice tracks with incrementally advanced...

Champions of Change: Primary Care Caring for Older Adults

We share a case study on caring for older adults in a value-based model. Key takeaways from the perspective of primary care office help stakeholders to better understand care management population health models. Based in Chicago, Oak Street Health provides value-based primary care exclusively to...

CMS Wants 12% Decrease in Hospital Readmissions by 2019

CMS wants to cut the number 30-day hospital readmissions by 12% and achieve a 20% reduction in overall patient harm by 2019 over the next three years under a hospital improvement plan. Proposals for the new Hospital Improvement and Innovation Networks, will work with hospitals, patients and other...

2017 Home Health Value-Based Purchasing Model Insights

The savings impacts related to the 2017 HHVBP Model are estimated at a total projected 5-year gross savings of $378 million, according to the proposal, “assuming a very conservative savings estimate of a 6 percent annual reduction in hospitalizations and a 1.0 percent annual reduction in SNF...

IMPACT ACT – Four Proposed Measures for CY 2018

CMS is proposing to adopt four measures for the CY 2018 payment determination to meet the requirements of the Improving Medicare Post-Acute Care Transformation Act of 2014 IMPACT Act. Three of these measures are resource-based and calculated using Medicare claims. The fourth measure is...

ACO Results Show Complex Care Management Lowered Spending Per Beneficiary

A new study by Dartmouth Institute For Policy and Clinical Practice finds coordinated care for patients with complex needs a big winner for ACOs. Currently there are now over 700 Accountable Care Organizations (ACO) in place across the country, covering 23 million Americans and making them one of...

MedPAC: Unified Post-Acute Payment Within Reach

“The PPS prototype that the Commission developed accurately predicts resource needs for nearly all patient groups, indicating that it can be used to set fair and accurate payments,” MedPAC adds in a News Release with the June 15 report which addresses issues affecting the Medicare program as well...

MACPAC Report To Congress On Medicaid

The Medicaid and CHIP Payment and Access Commission (MACPAC) released its June report to Congress, which looks at Medicaid spending and financing at the request of congressional committees with interest in Medicaid. The report findings state Medicaid spending on long-term care is disproportionate...

Independence at Home Demo Continues Success

For the second performance year, Independence at Home participants saved Medicare more than $10 million – an average of $1,010 per beneficiary – while delivering higher quality patient care in the home, according to a new analysis by the Centers for Medicare & Medicaid Services (CMS). Under...

Palliative Care Oncology Guidelines

A new guidance statement to define high-quality primary palliative care delivery in medical oncology has been developed by the American Society of Clinical Oncology (ASCO) and the American Academy of Hospice and Palliative Medicine (AAHPM). The two organizations have partnered to develop these...

Palliative And Hospice Care Insights

Despite recommendations to the contrary, only about half of elderly patients with advanced cancer receive palliative care, according to new findings. Many of the patients who do receive it late in the course of their disease, as opposed to immediately after diagnosis, which is recommended in...

CMS Initiative To Decrease 30-Day Hospital Readmissions 12% By 2019

CMS wants to cut the number 30-day hospital readmissions by 12% and achieve a 20% reduction in overall patient harm by 2019 over the next three years under a hospital improvement plan. Proposals for the new Hospital Improvement and Innovation Networks (HIIN, will work with hospitals, patients and...

Medicare Advantage Fewer Readmissions

Greater use of Medicare Advantage (MA) over traditional fee-for-service Medicare (TM) in certain populations, and even across small areas, has been associated with fewer overall hospitalizations and avoidable hospitalizations. Proponents attribute these associations to successful care management...

Readmissions By Diagnosis and Payer

Trends in the 30-day all-cause readmission rate following index admissions for four high-volume conditions, by expected payer of the index stay, in 2009 and 2013 are discussed.    All-cause rate of readmission, by principal diagnosis and expected payer of the index stay, 2009-2013 In...

MACRA’s Quality Measure Development Plan (MDP)

CMS will collaborate with a broad group of stakeholder organizations and persons to develop measures that are important to both patients and clinicians and that represent important performance gaps in the targeted quality domains. MACRA identifies five quality domains: clinical...

Article Search

 

March/April 2019 Remington Report
Special Report
Strategic Planning
In Pursuit of a Predictable Future
 

Click for Options to Subscribe

Remington Report Login

Access to public content on the site
does not require login.