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2016

DISCHARGE PLANNING: A CHECKLIST FOR HOSPITALS AND OTHER ACOS Justin Usher

August 16th, 2016 | 0

checklist-300x199Although the current hospital discharge planning process meets the needs of many inpatients released from the acute care setting, some discharges result in less-than-optimal outcomes for patients including complications and adverse events that lead to hospital readmissions. Reducing avoidable hospital readmissions and patient complications presents an opportunity for improving the quality and safety of patient care while lowering health care costs

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This entry was posted in Case Management, Discharge Planning, Readmissions

EXPANDING BUNDLED PAYMENTS: CMS PROPOSES NEW BUNDLED PAYMENTS RULE Justin Usher

August 11th, 2016 | 0

Amoney-in-glove-2cute care hospitals in certain selected geographic areas will participate in retrospective episode payment models targeting care for medicare fee-for-service beneficiaries receiving services during acute myocardial infarction, coronary artery bypass graft, and surgical hip/femur fracture treatment episodes. All related care within 90 days of hospital discharge will be included in the episode of care.

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This entry was posted in Bundled Payments

Utilizing Provider Networks While Respecting Patient Choice Justin Usher

July 26th, 2016 | 0

Nurse-with-patient-patient-choice

Hospitals and ACOs are under increasing pressure from the new changes instituted by CMS and the Affordable Care Act’s value-based purchasing initiatives to produce lower costs in the aim of providing better quality. They are increasingly responsible for the outcomes of patients not only under their care, but also under the care of Home Health Agencies (HHAs) and Skilled Nursing Facilities (SNFs).

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This entry was posted in Discharge Planning, Patient Choice and tagged ,

Accommodating Patient Choice in Bundled Payment Initiatives Justin Usher

July 12th, 2016 | 0

Bundled_PaymentsThe hospital, as part of the discharge planning process, must inform the patient or the patient’s family of their freedom to choose among participating Medicare providers of post hospital care services and must, when possible, respect patient and family preferences when they are expressed. The hospital must not specify or otherwise limit the qualified providers that are available to the patient. 

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Managing Post-Acute Risk: Key Strategies for Hospitals Justin Usher

July 7th, 2016 | 0

BPCI

In 2013, the first cohorts participating in The Bundled Payments for Care Improvement (BPCI) initiative entered into payment arrangements emphasizing  accountability, both financial and performance-based. These arrangements, championed by the Centers for Medicare & Medicaid Services (CMS), were designed to provide for episodes of care in the aim of reducing costs to Medicare while improving the quality and coordination of patient care.

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