Why Should Organizations Pursue Bundled Payments?
(Posted on 4/18/2012 2:56:12 PM)
Why Should Organizations Pursue Bundled Payments? Blog posted by Andy Edeburn While many providers are exploring the world of bundled payments, far too many others aren’t even paying attention. Here are seven good reasons you should get involved To learn. Fee for More
Are Health Insurance Companies Going the Way of the Dinosaur?
(Posted on 4/5/2012 1:56:41 PM)
| | Are Health Insurance Companies Going the Way of the Dinosaur? Do you remember where you were two years ago on March 25, 2010? I was on the “T” in Boston listening to my iPod while attacking some 2,000 plus pages |
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Private Market Will Continue Health Care Reform — Despite the U.S. Supreme Court Decision
(Posted on 3/26/2012 12:41:40 PM)
| | Private Market Will Continue Health Care Reform — Despite the U.S. Supreme Court Decision Blog posted by Nicole FallonThe health reform debate began in the U.S. Supreme Court today, and some providers, individuals, and employers believe that the court will |
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Grant Recipients Outline Medicare and Medicaid Integration Plans
(Posted on 3/20/2012 11:32:29 AM)
| | Grant Winners Outline Medicare and Medicaid Integration Plans Blog posted by Nancy RehkampThe 15 states that received an initial $1 million grant to design an integration plan for Medicare and Medicaid have been invited to submit an application to the |
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Are You Prepared for the 2009 DSH Audits?
(Posted on 3/13/2012 9:52:52 AM)
| | Are you prepared for the 2009 DSH audits? Blog posted by Rob SchileOn December 19, 2008, the Centers for Medicare and Medicaid Services (CMS) issued the final disproportionate share hospital (DSH) payments audit rule. The final rule requires states to |
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Medicare and Medicaid — the One Thing Congress Can Agree On
(Posted on 2/23/2012 3:13:21 PM)
| | Medicare and Medicaid — the one thing Congress can agree on Blog posted by Rob SchileWith contributing content from Lincon Kemp, Health Care Engagement Director Unfortunately, we have all been witness to the inability of our elected leaders to effectively |
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Frustrated by the HIPAA 5010 Transition? Join the Club
(Posted on 2/10/2012 3:45:29 PM)
| | Frustrated by the HIPAA 5010 Transition? Join the Club Blog posted by Rob SchileThe transition to the International Statistical Classification of Diseases and Related Health Problems, 10th Revision Clinical Modification Procedure Coding System (ICD 10) will create significant revenue cycle |
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The Pioneer ACOs Have Arrived—Things Are Going to Start Happening Now
(Posted on 12/20/2011 3:39:06 PM)
| | The Pioneer ACOs Have Arrived—Things Are Going to Start Happening Now. Blog posted by Andy EdeburnPerhaps one of the most memorable scenes from Steve Martin’s classic movie The Jerk was when the new phonebooks arrived. Navin R. Johnson (Martin) dances |
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Is Health Care Reform Here to Stay? The Supreme Court Will Decide
(Posted on 12/1/2011 11:23:06 AM)
| | Is Health Care Reform Here to Stay? The Supreme Court Will Decide Blog posted by Kate McCarthyI was speaking at a conference this September about health care reform and its impact on providers, and a member of the audience raised |
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Providers Show Health Reform Preparations and Innovations at LeadingAge Annual Meeting
(Posted on 10/27/2011 12:50:37 PM)
| | Musings Blog: Health reform poses specific challenges for the aging-services industry. Allan Larson met with numerous providers at this year’s conference, and blogs what he learned they are doing to address these issues. |
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Bundled Payment Is All the Rage—but Is It Right for Your Health Care Organization?
(Posted on 9/29/2011 2:03:39 PM)
| | Musings Blog: Nicole Fallon shares a few good reasons an organization might want to participate in the new Bundled Payment for Care Improvement Initiative, recently rolled out by the Center for Medicare and Medicaid Innovation (CMMI). It’s not for everyone, but it could yield valuable results for others. |
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ACO Challenges Are Common to Value-Based Reimbursement
(Posted on 8/25/2011 3:18:14 PM)
| | Musings Blog: Nancy Rehkamp recommends a recent article about the common mistakes made by organizations considering forming ACOs. |
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CMMI Launches Another Reform Pilot Opportunity—Bundled Payments for Care Improvement Initiative
(Posted on 8/25/2011 3:06:54 PM)
| | Musings Blog: The Center for Medicare and Medicaid Innovation (CMMI) announced its latest foray into payment reform: the Bundled Payments for Care Improvement Initiative. |
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To ACO or Not to ACO? Thinking Beyond Medicare
(Posted on 6/29/2011 4:13:09 PM)
| | Musings Blog: Andy Edeburn blogs that across the country health care leaders are scratching their heads and trying to answer the bottom-line question: does becoming an accountable care organization (ACO) make financial sense? The short answer is—it depends. |
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Medicare ACO Rules: Another Step Toward Value-Based Payment
(Posted on 4/28/2011 2:03:46 PM)
| | Musings Blog: CMS recently released the long-awaited “interim final” rules on accountable care organizations (ACOs). This development is another significant step toward a broader shift in payment philosophy—from paying for each service delivered (fee-for-service) to paying for value. |
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Reform Changes: W-2s, 1099 Repeals, and Provider Demos
(Posted on 4/15/2011 3:31:54 PM)
| | Musings Blog: Nicole Fallon blogs that everyone from President Obama to Congress to the federal agencies have been tinkering with the original Patient Protection and Affordable Care Act (health reform). |
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Health Reform Will Cover More Patients, but Will Providers’ Revenues Go Up?
(Posted on 3/9/2011 4:21:00 PM)
| | Musings Blog: State exchanges will mean health care coverage for 32 million previously uninsured Americans. That seems like good news for providers, but reimbursement rates from exchange plans could be as low as Medicare and Medicaid. Nicole Fallon cautions hospitals to understand the potential impact on their revenue streams and start preparing now. |
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Insurance Exchange Insights: Not All Employers Will Pay More Under Health Reform
(Posted on 2/28/2011 2:47:37 PM)
| | Musings Blog: As Nicole Fallon helps prepare clients for anticipated changes from health reform legislation, she’s had a few epiphanies along the way—including the realization that not all employers will actually be penalized by the law’s “penalties”. |
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Health Reform: Is It the Law or Not?
(Posted on 2/17/2011 4:18:19 PM)
| | The Patient Protection and Affordable Care Act (PPACA) continues to be implemented by the administration, while two District Court Justices have simultaneously ruled the law unconstitutional (and at least two other judges have upheld the law and the individual mandate). |
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All Providers Pay Heed to Hospital VBP Incentives and Risks
(Posted on 2/2/2011 12:43:25 PM)
| | Musings Blog: CMS released the proposed rules to establish a value-based purchasing (VBP) program for hospitals paid under the Medicare IPPS. These changes will impact all providers and to some will represent tremendous opportunities while others will experience financial loss for not improving quality and reducing costs. |
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