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Does the Current 30-Day Readmission Penalty Over-Simplify “High-Risk” Timing

Findings suggest that the 30-days following hospital discharge are not the same with regard to what influences outcomes for sick patients.

A study published in the Annals of Internal Medicine findings suggest readmissions in the week after discharge are more preventable and more likely to be caused by factors over which the hospital has direct control than those later in the 30-day window.

Home Health Value-Based Purchasing: The Top 5 Things You Should Know

By: Connie Christopher, RN, BSN, Connie Christopher, RN, BSN, Director Care Transitions, FirstHealth of the Carolinas, Inc.

 FirstHealth Home Care, a division of FirstHealth of the Carolinas, a comprehensive not-for-profit health care system in the mid-Carolinas, has always kept the focus on high quality patient care and actionable data to drive performance improvement. With the advent of the five year Home Health Value-Based Purchasing Model Pilot in 2016, FirstHealth was already demonstrating consistently high outcomes.

Analyzing the Readmission Cycle: News Ways to Look at Preventability

By: Lisa Remington, President Remington Health Strategy Group, Publisher The Remington Report

Significant studies are questioning whether a 30-day interval for readmissions is the best measurement for penalties. We provide findings that can help providers look at their own data and explore solutions. 

Five Payor and Provider Strategies Changing the Status Quo

By: Lisa Remington, President Remington Health Strategy Group, and Publisher, The Remington Report

Payors and providers are redefining and rethinking how new models of care can move the needle toward value-based care. Learn about recent examples.

Patient Choice and Discharge Planning Options

The government should find ways to encourage Medicare beneficiaries to use higher-quality post-acute care providers following a hospital stay. That was the gist of a presentation at the Medicare Payment Advisory Commission’s (MedPAC) September session in Washington by Senior Analyst Evan Christman.

Alzheimer Deaths Occurring More In The Home

It is estimated that total health and long-term care costs for persons with Alzheimer’s and other dementias in the United States will total $259 billion in 2017, more than two-thirds of which is expected to be covered by public sources such as Medicare and Medicaid.

The Post-Acute Care “Gap” Plaguing America’s Health Care Delivery System

By: Lisa Remington, President, Remington Health Strategy Group, and Publisher, The Remington Report

Approximately four million adults in the United States are homebound, and many of them cannot access office-based primary care. They are among the most costly patients in the U.S. health care system, not because of a specific disease but because of a powerful combination of multiple chronic conditions, functional impairment, frailty, and social stressors.

  • The full scope of their needs is not met by any of the existing formal health services – ambulatory, hospital, emergency department (ED), hospice, or skilled home health care.
  • Their needs and their limited ability to access primary care commonly result in unnecessary ED visits, hospitalizations, and downstream health care expenditures.
  • These patients account for approximately half of the costliest 5 percent of patients.

Examples of Payor Value-Based Incentives with Providers

Is the next wave of health outcomes moving to tie C-Level compensation to their pay?

A recent filing by Humana with the Securities and Exchange Commission indicates the insurer is instituting a new compensation model in which bonuses are not just tied to company financial performance, but also to enrollee’s health outcomes.

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Special Report
Positioning Home Care Companies
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