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ScribeAmerica-WhatOneStatesEfforts

What One State’s Efforts Can Teach Us About Successful ACOs

There are now nearly 500 Medicare accountable care organizations (ACOs) participating in the Shared Savings Program and the Pioneer ACO Model combined. About one-third of Centers for Medicare and Medicaid Services (CMS), fee-for-service payments are tied to these alternative payment models saving over $411 million for Medicare in just one year….

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Posted In: Best Of, General On: Tuesday, 21 February, 2017
work-management-907669

Old versus New: How You Can Update the Revenue Cycle

  Improving the efficiency of the revenue cycle is still being refined through technological advancements and by restructuring the documentation and billing procedures. Before the advent of integrated data collection technologies and real-time communication, the old way of generating claims and receiving payment was a much longer process than it…

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Posted In: General, Quality, Efficiency, Utilization On: Tuesday, 14 February, 2017
coins-948603

3 Ways to Put a Positive Spin on CPC+

  Shared savings from the Comprehensive Primary Care (CPC) initiative’s second round are up. To be exact, the Centers for Medicare and Medicaid Services (CMS) report a total of $57.7 million in gross savings were generated in 2015 by 481 primary care practices serving more than 376,000 Medicare beneficiaries. Although three of…

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Posted In: Future of Healthcare, General, Quality, Efficiency, Utilization On: Tuesday, 7 February, 2017
hospital-1636334

How Hospitals Are Reducing Readmissions

  Hospital readmission rates have dropped 8% between 2010 and 2015 — a big step toward more cost-effective, higher-value care. The big driver has been the Hospital Readmissions Reduction Program (HRRP), which targets avoidable hospital readmissions occurring within 30 days of initial patient discharge. With HRRP, the Centers for Medicare and Medicaid…

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Posted In: Future of Healthcare, General, Quality, Efficiency, Utilization On: Tuesday, 31 January, 2017
coding and billing

4 Key Steps to Make Coding and Billing as Coordinated as Your Care

  In July 2016, the Centers for Medicare and Medicaid Services proposed new bundled payment models that continue the ongoing progress to shift Medicare payments from rewarding quantity to rewarding quality by creating strong incentives for hospitals and clinicians to deliver better care to patients at a lower cost. This “better care”…

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Posted In: General, Quality, Efficiency, Utilization On: Tuesday, 24 January, 2017
scribeamerica-hospitalvaluebasedpayments2017andbeyond

Hospital Value-Based Payments: 2017 and Beyond

The fifth year of the Hospital Value-Based Program (VBP) will not be marked by revolutionary changes but, rather, incremental steps along the quality-and-savings continuum. The Hospital VBP Program adjusts what Medicare pays under the Inpatient Prospective Payment System (IPPS) based on the quality of care for inpatient stays in approximately…

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Posted In: Future of Healthcare, General, Quality, Efficiency, Utilization On: Tuesday, 17 January, 2017
scribeamerica-wheredohospitalistsfitinacos

Where Do Hospitalists Fit in ACOs?

Value-based care has led to restructuring of healthcare delivery models in ways that can accommodate the change from independent fee-for-services for individual patients towards a more comprehensive patient care that encompasses overall patient health for a longer span of time. Indeed, the development of accountable care organizations (ACOs), whether hospital-based…

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Posted In: Future of Healthcare, General On: Tuesday, 10 January, 2017
burnout

New Year, Same Old Provider Burnout?

Provider burnout can seriously compromise physician’s careers and mental health — and, just as importantly, the quality and safety of patient care — and still the issue remains. Keep in mind that, as administrative and systemic complexities have increased in the healthcare system so, too, have rates of physician burnout….

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Posted In: General, Quality, Efficiency, Utilization On: Tuesday, 3 January, 2017
physicians ACOs

Lessons Physician ACOs Can Learn from Hospital ACOs

Three years in, the evidence in favor of the cost-effectiveness of the accountable care organization (ACO) model of healthcare service delivery has been piling up. A recent assessment of ACO performance showed that those that joined the Medicare Shared Savings Program reduce Medicare spending by about $144 per beneficiary. Although it’s independent…

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Posted In: General, Quality, Efficiency, Utilization On: Tuesday, 27 December, 2016
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