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Five approaches to predict high-expenditure beneficiaries among different segments of the Medicaid populations are examined. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
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The research will focus on payment for episodes with up to two PAC services within seven days of each other and exclude hospital and physician services. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
The race to value-based care is heating-up. In today?s healthcare landscape, value-based care is a hodge-podge of models. However, as we track changes to the healthcare infrastructure and payment reform, we see the escalation from fee-for-service models to value-based models supported by an increase in greater risk-sharing models. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
2019 is likely to bring major changes to Conditions of Participation (CoPs) of the Medicare Program for hospitals for discharge planning, including patients? right to freedom of choice of providers. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Are home health agencies using the right quality measures to track care? What changes are HHAs making in response to the use of performance measures by CMS? This article is free to 1-Year Classic and 2-Year Premium subscribers. -
FirstHealth Home Care, a division of FirstHealth of the Carolinas, a comprehensive not-for-profit healthcare 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. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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