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The Merit-based Incentive Payment System (MIPS) is one of two tracks under the Quality Payment Program, which moves Medicare Part B providers to a performance-based payment system. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
A Health Affairs study examined how ACOs implement home visits to care for patients with complex needs. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Evaluation of the first two performance years, 2016-2017. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Direct contracting creates the seismic change to level the playing field for small and large organizations, tests risk-sharing payments, creates a playground to test payments that operated in silos, and creates greater financial alignment. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
It?s estimated that less than 30 percent of individuals discuss end-of-life care with their loved ones, despite over 90 percent recognizing the value of such conversations. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Health plans are in a transformative phase right now. Three major areas in 2020 focus on government markets, care management, and information technology to support improvement and cost reduction. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
As we shift away from traditional Medicare models, it may be time to reassess whether the traditional Medicare limitation on DME continues to make sense for both patients and payer sources. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Each year, we assemble this list as a way to examine the past year and to potentially identify trends. Trends that both reflect and influence the current environment, but also shed some light on what may lay in store for the future. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Print copy of the January/February 2020 issue of The Remington Report. Free shipping. Please allow five to 10 business days for shipping. -
TANDEM365 is a complex medical case management program coupled with a robust community paramedicine program that offers rapid response and in-home intervention capabilities. Blending population health management with community paramedicine, the goal of TANDEM365 is to connect all providers across the healthcare continuum to effectively coordinate care and prevent gaps. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Sentara Home Care Services is comprised of 10 home health agencies that span across Virginia and parts of northeastern North Carolina. Recognizing the challenges of the Patient-Driven Grouper Model (PDGM) and the high cost of complex wounds, Sentara redefined its program to include technology, and a shared risk model with their supply company resulting in cost reductions and improved outcomes. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
There?s been a significant industry-wide interest on ?downshifting care? to lower-cost delivery? environments. Harnessing the home as a?central hub is getting the attention of physicians, payers and health systems as a way to transform traditional care management models with integrated home-based medicine. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Market readiness is the theme for this year?s outlook. The talk of transformation has traction. Too many disruptors are in the healthcare market pushing out traditional models of care. Until you see the information gathered in one document, it may seem transformation is still a while away. Our study of trends and market signals indicate otherwise. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Changes to reimbursement for skilled nursing facilities and the physician fee schedule final rule have a major impact on the future of physical therapists and occupational therapists. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Physician participation in accountable care organizations (ACOs) reached a milestone in 2018. More than half of physicians reported their practice was part of an ACO. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
There is greater attention to ?un-siloing? the care continuum. Lean into innovation. Market dynamics suggest the time is now. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Print copy of the November-December 2019 issue of The Remington Report. Free shipping. Please allow five to 10 business days for shipping. -
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. -
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. -
Print copy of the September/October 2019 issue of The Remington Report. Free shipping. Please allow five to 10 business days for shipping. -
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. -
Telehealth is predicted to be the next big investment for seniors aging in place. The number of seniors requiring additional caregiving and support due to chronic disease will increase from about 14 percent of the senior population in 2010 to 21 percent by 2050, putting the pressure on healthcare providers to improve caregiving platforms. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Prior authorizations take time away from patients and interject a third party into the doctor-patient relationship. There are many frustrations with prior authorizations, but the time spent getting payer permission is a common thread among all doctors. The average practice spends more than 15 hours per week total on them. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Eighty percent of ACOs reported using home visits for some of their patients, with larger ACOs more commonly using home visits. Under alternative payment models ? including accountable care organization (ACO) contracts ? providers may have greater motivation to improve care delivery for patients with complex clinical needs because they are responsible for the patients? total cost of care. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Our nation has spent decades building and refining the healthcare system we know today. However, a shift is taking place ? highlighting a great need for, and opportunity to provide, home-based primary care (HBPC). This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Print copy of the July/August 2019 issue of The Remington Report. Free shipping. Please allow five to 10 business days for shipping.
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