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Of the 12 million Americans who qualify for both Medicare and Medicaid, 26% of hospitalizations were potentially avoidable. Total healthcare expenditures for this group exceed $300 billion a year, due in part to misaligned financial incentives between the two programs. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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The rate of readmissions increases in the first two days after a SNF discharge. If SNFs lower their readmission rates, providers can earn the two percent. CMS reports almost three-quarters of the providers in the country will receive a cut under VBP. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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For the home care industry, the announcement of new value-based physician payment models should have caused a gleeful outburst. Under these new models, Medicare will be rewarding practices for providing more convenient access to care, and start paying for chronic disease care management, acute care in-home services, and hospice and palliative care. This article is free to 1-Year Classic and 2-Year Premium subscribers.