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Monthly Archives
July 2016

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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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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