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Medicare Advantage beneficiaries are switching to Medicare Fee-for-Service during their last year of life according to a Government Accountability Office study. The federal government would have saved $912 million during 2016 and 2017 had fewer Medicare Advantage enrollees opted into traditional Medicare during their last year of life, the GAO estimates. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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Effective on January 19, 2021, new regulations related to the Stark laws expanded and underscored the ability of hospitals to require physicians to send referrals to particular providers. These new regulations also make it clear that providers can monitor and enforce requirements to direct referrals to designated providers. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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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. 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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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.
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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.