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How payers measure success may vary with attention paid to prevention services and screenings, timeliness of services, functional and clinical stability in the home, or satisfaction with service providers. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
What post-acute care providers need to know about a new rule that includes updated payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
With Medicare Advantage plans, it?s all about rebates. Learn from five major insurers the reasons supplemental benefits are limited. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Sarah Szanton pioneered a care approach to provide low-income older adults with handyman services alongside in-home nursing visits and occupational therapy to help them live more independently. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
A unified value-based incentive program for post-acute care providers is recommended with a possible 5% withhold. Med-PAC is building on their previous work of the unified prospective payment system across four post-acute settings. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
The first two years of the Comprehensive Care for Joint Replacement (CJR) saved Medicare more than?$1,00 per episode. CJR, a five-year Medicare program rolled out in 2016, pays participating?hospitals for hip and knee replacements by episode of care: from admission to 90 days post discharge. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
The Office of Inspector General (OIG) of the U.S. Department of Health and Human Services (HHS), the primary enforcer of fraud and abuse prohibitions, has issued its annual recommendations that, if implemented, will likely affect HHS programs positively in terms of cost savings, program effectiveness and efficiency, and public health and safety. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Adam Boehler left his position as the deputy administrator and director of CMS and Medicaid Innovation (CMMI). His position at CMMI was important to home and community-based providers. His work created models to pay primary care physicians based on value, tie prices of drugs administered in a doctor's office to the amount other countries pay, and a drive to move?more people to get dialysis in their homes. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
This is the second article in series to discuss how to promote the growth of in-home community-based organizations and accelerate relationships with payers. The first article published in The Remington Report's July/August issue, pages 4-8, focused on the home health aide workforce: How Real Time Actionable Data Leverages New Value For Home Health Aides and Stakeholders. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
About two-thirds of hospital readmission costs were higher than their initial admission costs for common diagnoses in 2016, according to a Healthcare Cost and Utilization Project Statistical Brief released by the Agency for Healthcare Research and Quality. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
The Centers for Medicare & Medicaid Innovation (CMMI) recently announced five new payment models transforming?kidney care so that patients?with chronic kidney disease have access to high quality, coordinated care. The payment models are in response to an executive order signed by President Trump on advancing kidney health. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Aggressive moves by payers teaming up with big players such as CVS are advancing their healthcare programs into the home. How does this impact healthcare organizations? Are these new partnering opportunities or, a new competitor on the horizon? This article is free to 1-Year Classic and 2-Year Premium subscribers.
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