Category “Future of Healthcare”

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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
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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
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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
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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
quality-based payments

Quality-Based Payments in 2017: Four Ways to Join In

In the new year, there will be four ways to join in the Quality Payment Program. The Department of Health and Human Services (HHS), in conjunction with the Centers for Medicare and Medicaid Services (CMS), recently expanded value-based payments into an all-encompassing program that incorporates the alternative payment programs already in place…

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Posted In: Future of Healthcare, Quality, Efficiency, Utilization On: Tuesday, 15 November, 2016
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Fixing Gaps in Care: Broad Trends for Three Key Approaches

Since the Affordable Care Act was passed, all roads lead to patient-centered, quality-driven, cost-efficient care. To that end, the Centers for Medicare and Medicaid Services (CMS) are increasingly focusing on joining up access to medical care, care coordination and communication — in particular where there are gaps in care. These gaps can…

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Posted In: Future of Healthcare, General, Quality, Efficiency, Utilization On: Tuesday, 8 November, 2016
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ACOs: 4 Trends and Changes on the Horizon

Accountable Care Organizations (ACOs) have been successful at lowering expenses below the cost benchmarks and in generating shared savings. The best ACOs have established well-coordinated networks of care, bringing together physicians, hospitals and other healthcare providers to improve chronic care management while reducing healthcare costs. Sounds great, doesn’t it? Since the inception of the program…

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Posted In: Future of Healthcare, General On: Tuesday, 1 November, 2016

4 Key Efficiency Strategies to Make the Most of Bundled Payments

Bundled payments combine all related treatments or procedures into a single episode of care — a bundle, if you will. The goal is to reduce unnecessary costs or preventable complications, thereby improving care quality and freeing up resources to keep healthcare sustainable. The lump-sum amount for each episode of care…

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Posted In: Future of Healthcare, Quality, Efficiency, Utilization On: Tuesday, 4 October, 2016
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