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Does Hospice Save Money Across All Payers?

A recent study published in the Journal of the American Medical Association of 5,464 beneficiaries reveals that total health expenditures were lower for those who used hospice.

Does Hospice Save Money Across All Payers?2022-04-24T12:24:53-04:00

Legal: Non-Compete Agreement Trends

Although the trend is certainly against non-compete agreements or restrictive covenants in the health care industry, some state courts have affirmed their use.

Legal: Non-Compete Agreement Trends2022-03-20T09:03:53-04:00

Complaints About Referrals Must Be Based on Facts

The owner of a supplier of home medical equipment (HME) complained that her company did not receive referrals from TidalHealth Nanticoke Hospital. The Court dismissed the owner’s lawsuit because she could not prove her claims. This case illustrates why providers who complain about practices of referral sources must have facts to support their claims. 

Complaints About Referrals Must Be Based on Facts2022-03-20T09:03:53-04:00

The Latest on Recoupment of Overpayments

In a November 2021 decision, the U,S, Court of Appeals said that CMS can recoup overpayments from providers even though its appeals are still pending before Administrative Law Judges.

The Latest on Recoupment of Overpayments2022-03-20T09:03:53-04:00

Legal: What Can Providers Give to Patients?

Providers, including marketers, are tempted to give patients free items and services. But be careful! These activities may violate laws prohibiting providers that participate in state and federal health programs from giving free items and services to patients.

Legal: What Can Providers Give to Patients?2022-03-20T09:03:53-04:00

Why is It Important to Understand Hospital Stays By Medical Condition?

Your partners – ACOs, payers, commercial insurers, physicians, and health systems – seek ways to reduce hospitalizations and re-hospitalizations. A critical measurement of your value is to show how your organization can reduce the cost of care, decrease re-hospitalizations, and improve outcomes.

Why is It Important to Understand Hospital Stays By Medical Condition?2021-10-10T18:46:04-04:00

The Obesity Crisis and Chronic Illness Attributed to 64% of Hospitalizations

The 18th annual report by Trust for America’s Health on the obesity crisis in the United States has been released. This year, special features highlight the interaction of the COVID-19 pandemic with social, economic, and environmental conditions that impact hospitalizations, social determinants of health (SDOH), and outcomes.

The Obesity Crisis and Chronic Illness Attributed to 64% of Hospitalizations2021-10-23T11:22:01-04:00

Closing the Patient Communication Gap With Your Referral Partners

SPECIAL REPORT Across the board, we see from referral sources and other care providers alike that they really feel as if they’re part of the care team now instead of the end of the line where a patient goes when they get out of the hospital. Your peers share their thoughts and solutions.

Closing the Patient Communication Gap With Your Referral Partners2021-11-24T10:59:52-05:00

Seamless Care Transitions: Six Smart Ways to Stay in Communication with Your Referral Sources

SPECIAL REPORT Your referral partners increasingly expect robust communications to make patient transfers as seamless as possible, for both the patient and providers, which means you need strategies to create seamless transitions. Learn what leading home health and hospice agencies are doing in this free special report.

Seamless Care Transitions: Six Smart Ways to Stay in Communication with Your Referral Sources2021-10-23T11:24:01-04:00

Legal Perspective on Patient Choice

What are the fraud implications when patients' rights are violated? What is the role of physicians in patients' freedom of choice? The Remington Report gets answers from Attorney Elizabeth Hogue.

Legal Perspective on Patient Choice2022-03-20T09:03:54-04:00

4 Strategies to Dramatically Improve Productivity, Volume, and Revenue

SPECIAL REPORT National leaders discuss how to lean into new approaches to accelerate business growth, improve performance, and address technologies that create faster reimbursement, better work-life balance for clinicians, and optimal patient outcomes. They share how their organizations address four key questions.

4 Strategies to Dramatically Improve Productivity, Volume, and Revenue2021-10-23T11:29:27-04:00

OIG’s Audit: Home Health Telehealth Payments

On a temporary basis, CMS issued blanket Section 1135 to healthcare professionals in response to the COVID-19 public health emergency (PHE). But now the OIG wants to be sure the rules are being followed. This Remington Report special report dives into the subject of home health telehealth payments.

OIG’s Audit: Home Health Telehealth Payments2021-10-23T11:29:41-04:00

Remington’s Industry Report 2021 Leadership Perspectives

SPECIAL REPORT National leaders discuss how to lean into new approaches to accelerate business growth, improve performance, and address technologies that create faster reimbursement, better work-life balance for clinicians, and optimal patient outcomes. They share how their organizations address four key questions.

Remington’s Industry Report 2021 Leadership Perspectives2021-10-23T11:30:05-04:00

7 Models That Will Accelerate Value Based Payments in 2021

This year, several value-based payment models will begin the shift from fee for service to value-based. Earmark this as the transformation of payment reform for care-at-home providers and how they will be paid in the future. This white paper explains the seven value-based models impacting care-at-home providers.

7 Models That Will Accelerate Value Based Payments in 20212021-08-30T18:08:26-04:00

2021 Payer Opportunities Collection

Your organization has new opportunities to grow and expand payer partnerships. A one-size-fits-all approach no longer exists, which is why we have bundled four articles from the Nov-Dec 2020 issue of The Remington Report into this complimentary compendium. Read about how to expand internal and external education, leverage critical investments in your workforce, and enhance actionable data needed by payers.

2021 Payer Opportunities Collection2021-08-30T18:08:27-04:00

Physicians Expanding Care Into the Home

Home-based medical care models are shaking-up the $260 billion primary care market. Three physician models, new reimbursement models, telehealth, and chronic care management are key drivers.

Physicians Expanding Care Into the Home2021-08-30T18:08:27-04:00

COVID-19 Readmissions

In this free industry report, The Remington Report provides key data analysis to help your organization mitigate COVID-19 readmissions, along with five action steps for your organizations to explore.

COVID-19 Readmissions2021-10-23T11:32:29-04:00

6 Ways Care in the Home is Changing Your Business

In this free industry report, The Remington Report shares six ways care in the home is changing the future of healthcare. Leaders will need to address these strategically if they intend to realize continued growth in a significantly changing marketplace.

6 Ways Care in the Home is Changing Your Business2021-08-30T18:08:28-04:00

Strategy Insight: How To Align Financial and Clinical Incentives with Payers and the Most Costliest Medical Conditions

In this article, we take a look at data reflecting the costliest medical conditions by payers. This becomes an important strategy as payers begin to move more value-based care contracting into the home care space and look to treating higher acuity patients in the home.

Strategy Insight: How To Align Financial and Clinical Incentives with Payers and the Most Costliest Medical Conditions2021-10-23T11:35:44-04:00

Legal: Managing the Risks of Wound Care

Wound care is a risky business these days. Providers who render wound care services are at risk for many things, including liability for negligent wound care, violation of fraud and abuse prohibitions based on substandard wound care, and liability for abandonment when wound care services are discontinued.

Legal: Managing the Risks of Wound Care2022-03-20T09:03:54-04:00

Industry Business News

CMS has made three new appointments to their quality division, the Visiting Nurse Service of New York has settled its lawsuit, and Orlando Health and LHC Group has inked a partnership. The latest executive moves in healthcare, along with other industry business news, can be found here.

Industry Business News2021-08-30T18:08:29-04:00

Payers: 2020 Supplemental Benefits for Chronic Conditions Doubled

In 2020, Medicare Advantage (MA) plans have doubled the number of condition-specific supplemental benefits from approximately 820 to 1,850. However, the new Special Supplemental Benefits for the Chronically Ill (SBBCI) for 2020 didn’t fare as well.

Payers: 2020 Supplemental Benefits for Chronic Conditions Doubled2021-10-22T17:39:52-04:00

Payment Recommendations for 2021

In its March 2020 report to the Congress, MedPAC makes payment policy recommendations for provider sectors in fee-for-service (FFS).

Payment Recommendations for 20212021-10-22T17:42:48-04:00

Report: Medicare’s Hospital Post-Acute Care Transfer Policy to Hospice

The Bipartisan Act (BBA) of 2018 Act updated the hospital transfer policy for early discharges to hospice care. The law required that, beginning in FY 2019, discharges to hospice care would qualify as a post-acute care transfer and be subject to payment adjustments.

Report: Medicare’s Hospital Post-Acute Care Transfer Policy to Hospice2021-08-30T18:08:30-04:00

Medicare’s Option to Avoid the Emergency Department

The Center for Medicare and Medicaid Innovation’s Emergency Triage, Treat, and Transport (ET3) Model is designed to test expanded care destination alternatives to the ED for Medicare beneficiaries who call 911.

Medicare’s Option to Avoid the Emergency Department2021-10-22T17:43:31-04:00

Peer Case Study: Community-Based Paramedicine Model

CMS recently announced the Emergency Triage, Treat, and Transport model, which provides greater flexibility to ambulance care teams to address emergency health care needs of certain Medicare beneficiaries following a 911 call. 

Peer Case Study: Community-Based Paramedicine Model2021-10-23T11:39:13-04:00

Encompass Health Case Study

Encompass Health, in collaboration with McKesson, saved 17% to 19% on their supply spend, increased efficiencies, and achieved greater patient satisfaction.

Encompass Health Case Study2021-10-23T12:05:02-04:00

2020 ACOs Taking on More Risk

The number of ACOs taking on risk for cost increases grew from 93 ACOs at the start of 2019 to 192 at the start of 2020.

2020 ACOs Taking on More Risk2021-10-22T17:45:11-04:00

Post-Acute Business Industry News

Post-acute ACO adds 200 new long-term care facilities, new appointments, home medical equipment acquisitions, mergers and acquisitions, and more.

Post-Acute Business Industry News2021-08-30T18:08:31-04:00

Industry Business News

LHC Group announces senior management change, and Amedisys acquires Asana Hospice.

Industry Business News2021-08-30T18:08:31-04:00

16 Things To Know About Stark Laws

The Stark Law is a set of U.S. federal laws that prohibit physician self-referral, specifically a referral by a physician of a Medicare or Medicaid patient.

16 Things To Know About Stark Laws2021-10-23T11:55:22-04:00

IMPACT Act – Quality Measure Domains

Four healthcare settings must report standardized data using the assessment instruments on at least five of the following eight quality measure domains.

IMPACT Act – Quality Measure Domains2021-08-30T18:08:33-04:00

Medicare Population Characteristics

In 2011, two-thirds of beneficiaries had three or more chronic conditions, more than one quarter of all beneficiaries reported being in fair or poor health.

Medicare Population Characteristics2021-08-30T18:08:34-04:00

Study: Hospice Top 13 Diagnosis

Cancer accounts for less than one-half of all hospice admissions. Here is a list of the top 13 diagnoses for admissions to hospice care.

Study: Hospice Top 13 Diagnosis2021-08-30T18:08:34-04:00

Hospice Quality of Care Varies

In a large cohort study, hospice visits in the last 2 days of life by professional staff varied by race, hospice program, and geographic region.

Hospice Quality of Care Varies2021-08-30T18:08:35-04:00

Palliative Care Oncology Guidelines

A new guidance statement to define high-quality primary palliative care delivery in medical oncology has been developed by ASCO and AAHPM.

Palliative Care Oncology Guidelines2021-08-30T18:08:35-04:00

ACO Investment Model

The ACO Investment Model encourages new ACOs to form in rural areas and Medicare Shared Savings Program ACOs to take greater financial risk.

ACO Investment Model2021-10-22T17:54:37-04:00

Medicaid ACO Market Scan

17 states are implementing accountable care strategies in Medicaid or state employee health programs and patterns have begun to emerge.

Medicaid ACO Market Scan2021-10-23T11:59:15-04:00

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