Advancing Care Coordination Proposed Rule
|
|
- Timothy Taylor
- 5 years ago
- Views:
Transcription
1 Advancing Care Coordination Proposed Rule Released July 25, 2016 Erin Smith, JD VP and Executive Director, PACCR Jourdan Meltzer Research Associate, PACCR August 4,
2 Presentation Overview Three new mandatory Episode Payment Models (EPMs) Episode definition: AMI, CABG, & SHFFT Payment: Risk-bearing, benchmarking, quality, & overall financial arrangement Patterns of care Opportunities for savings Cardiac Rehabilitation (CR) Incentive Payment Model Incentive payment structure Changes to CJR MACRA & pathway to Advanced APM qualification Projected BPCI updates 2
3 Episode Payment Models paccr.org
4 Overview: Three New Episode-Based Payment Models (EPMs) CMS proposed three new EPMs Acute myocardial infarction (AMI) Coronary artery bypass graft (CABG) Surgical hip/femur fracture treatment excluding lower extremity joint replacement (SHFFT) Cardiac (AMI & CABG) EPMs will be mandatory in 98 randomly selected metropolitan statistical areas (MSAs TBD) SHFFT EPM will be an expansion of CJR and include the same 67 MSAs Proposed start July 1, year model ending December 31, 2021 Source: Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) (CMS-5519-P) 4
5 Episode Definition Initiates upon a hospital inpatient admission and extends through 90 days postdischarge AMI Episodes Acute myocardial infarction AMI admissions treated with medical management MS-DRGs AMI admissions treated with PCI MS-DRGs with AMI ICD-CM diagnosis code CABG Episodes Coronary artery bypass graft admissions for coronary revascularization irrespective of AMI diagnosis MS-DRGs SHFFT Episodes Surgical hip/femur fracture treatment procedures excluding lower extremity joint replacement MS-DRGs Source: Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) (CMS-5519-P) 5
6 Episode Payment Calculation & Risk Bearing Regular Medicare FFS payments throughout the model Retrospective payment model after episode ends the episode payment will be calculated based on Medicare claims data and reconciled against established EPM quality-adjusted target price Phased-In Risk: no downside risk PY 1 and increasing upside and downside risk PY 1 Q1 PY 2 Jul 2017 Mar 2018 Q2 4 PY 2 Apr 2018 Dec 2018 PY 3 Jan 2019 Dec 2019 PY 4 & 5 Jan 2020 Dec 2021 Upside Gains: capped at 5% Upside Gains capped at 5% Upside Gains capped at 10% Upside Gains capped at 20% Downside Losses no repayment Downside Losses capped at 5% Downside Losses capped at 10% Downside Losses capped at 20% Source: Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) (CMS-5519-P) 6
7 Target Price: Benchmarking Target prices will be based on blend of regional- and participant-specific data, with increasing proportion of regional data over time Proposal to use the 9 U.S. Census Regions PY 1 & 2 July 2017 Dec 2018 PY 3 Jan 2019 Dec 2019 PY 4 & 5 Jan 2020 Dec 2021 H R H R R Source: Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) (CMS-5519-P) 7
8 Quality Component Composite quality score to assign EPM participants to four quality categories Only EPM participants that achieve quality category of "acceptable" or higher will be eligible for a reconciliation payment AMI CABG SHFFT MORT-30-AMI: Hospital 30-Day, All- Cause, Risk-Standardized Mortality Rate Following AMI Hospitalization (NQF #0230) AMI Excess Days: Excess Days in Acute Care after Hospitalization for AMI HCAPHS Survey (NQF #0166) Voluntary Hybrid Hospital 30-Day, All- Cause, Risk-Standardized Mortality emeasure (NQF #2473) data submission MORT-30-CABG: Hospital 30-Day, All- Cause, Risk-Standardized Mortality Rate Following CABG (NQF #2558) HCAPHS Survey (NQF #0166) Same measures as CJR: Hospital-Level Risk-Standardized Complication Rate Following Elective Primary THA and/or TKA (NQF #1550) Successful Voluntary Reporting of Patient-Reported Outcomes and Limited Risk Variable data submission HCAPHS Survey (NQF #0166) Source: Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) (CMS-5519-P) 8
9 Payment Eligibility and Repayment Responsibility: Performance Year 1 & Quarter 1 of Performance Year 2 PY 1 & Q1 PY 2 Quality Category Eligible for Reconciliation Payment Effective Discount % for Reconciliation Payment Effective Discount % for Repayment Amt. Excellent Yes 1.5% N/A Good Yes 2.0% N/A Acceptable Yes 3.0% N/A Below Acceptable No 3.0% N/A Source: Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) (CMS-5519-P) Downside risk/ repayment begins being phased in Q2 of PY 2 9
10 Payment Eligibility and Repayment Responsibility: Quarters 2-4 of Performance Year 2 & Performance Year 3 Q2-4 PY 2 & PY 3 Quality Category Eligible for Reconciliation Payment Effective Discount % for Reconciliation Payment Effective Discount % for Repayment Amt. Excellent Yes 1.5% 0.5% Good Yes 2.0% 1.0% Acceptable Yes 3.0% 2.0% Below Acceptable No 3.0% 2.0% Source: Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) (CMS-5519-P) Downside risk/ repayment begins 10
11 Payment Eligibility and Repayment Responsibility: Performance Years 4 & 5 PYs 4 & 5 Quality Category Eligible for Reconciliation Payment Effective Discount % for Reconciliation Payment Effective Discount % for Repayment Amt. Excellent Yes 1.5% 1.5% Good Yes 2.0% 2.0% Acceptable Yes 3.0% 3.0% Below Acceptable No 3.0% 3.0% Source: Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) (CMS-5519-P) Discount increases by 1% for all categories 11
12 Gainsharing and Risk Sharing EPM hospitals may share reconciliation payments and repayment risk with collaborators Gainsharing Eligibility Must meet the criteria set by participating hospital Physicians, NPPs, and PGPs must furnish a billable service in an episode EPM Collaborators SNF HHA LTCH IRF PGP Physician Nonphysician practitioner Provider/supplier of outpatient therapy services ACOs Hospitals CAHs Source: Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) (CMS-5519-P) 12
13 Downstream Distribution Payments Alignment Payments (-) Gainsharing Payments (+) Proposed EPM Financial Arrangements Repayment Amounts (-) CMS EPM Participants Reconciliation Payments (+) Physician or Nonphysician Practitioner ACO PGP SNF, HHA, LTCH, IRF, Hospital, CAH, Provider/ Supplier of OP Therapy Services ACO Provider/Supplier (e.g., Physician) ACO Participant: PGP ACO Participant: Other Physician or NPP (PGP Member) Physician or NPP (PGP Member) Source: Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) (CMS-5519-P) 13
14 Limits on Gainsharing and Risk Sharing Gainsharing Payments Participant hospitals may share reconciliation payments and internal cost savings Individual physicians/practitioners gainsharing payments are capped at 50% of their PFS payments for episode services PGPs may receive gainsharing payments up to 50% of their PFS payments for episode services EXAMPLE SHARING ARRANGEMENT 5% 20% Participant Hospital Alignment Payments Participant hospitals may share repayment responsibilities Hospital must retain responsibility for retaining 50% of the repayment amount A single collaborator that is not an ACO may not pay more than 25% of the repayment amount ACO collaborators may pay up to 50% of the repayment amount 25% 50% Collaborator 1 (HHA) Collaborator 2 (SNF) Collaborator 3 (PGP) Source: Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) (CMS-5519-P) 14
15 Payment Policy Waivers SNF 3-day Stay AMI only Not applicable for CABG or SHFTT episodes Allows coverage of a SNF stay following discharge from an anchor CJR hospital stay of less than 3 days SNF must have 3 star or better rating Beginning April 1, 2018 Home Visits Waives supervision requirement so that clinical staff may provide home visits under general supervision AMI up to 13 home visits in the 90 days CABG up to 9 home visits in the 90 days SHFFT up to 9 home visits in the 90 days Waive global period restrictions to allow for home visits Telehealth Waives the geographic site requirement and the originating site requirement for telehealth services Telehealth services may be provided in a CJR beneficiary s home or residence Source: Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) (CMS-5519-P) 15
16 Patterns of Care: Contrast to LEJR Episode in CJR LEJR in CJR is predominantly elective, has rare hospital readmissions, & commonly substantial post-acute care provider utilization none of which are characteristics of AMI or CABG AMI, CABG, & SHFFT EPMs all encompass chronic conditions that require both planned and unplanned care AMI model as important next step for testing EPMs for clinical conditions with variety of different approaches to treatment and management Single clinical condition with substantially different clinical care pathways: medical management and PCI Source: Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) (CMS-5519-P) 16
17 Opportunities for Savings Understanding historical spending patterns for the three high-expenditure, common episodes selected with their significant spending variation in mind AMI Model ~50% of spending on initial hospitalization Majority of post-discharge spending is for readmissions Lesser spending for SNFs, Part B professional services, & hospital outpatient CABG Model ~75% of spending on initial hospitalization. Post-discharge spending is evenly distributed among Part B professional services & hospital readmissions. Most patients are discharged to SNFs SHFFT Episodes Substantial readmissions High use of PAC services Source: Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) (CMS-5519-P) 17
18 Cardiac Rehabilitation Incentive Payment Model paccr.org
19 Overview: Cardiac Rehabilitation (CR) Incentive Payment Model Direct financial incentives for hospitals treating AMI or CABG beneficiaries to encourage care coordination and greater utilization of medically necessary CR/ICR services in the 90 days post-discharge. 45 MSAs from the AMI and CABG EPMs. 45 MSAs with regular Medicare payments. CR/ICR seen as underutilized way to improved long-term patient outcomes. Focus: increased utilization of CR/ICR services alone, payment NOT tied to quality and efficiency. Source: Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) (CMS-5519-P) 19
20 CR Incentive Payment Structure Determination: Number of CR/ICR services - counted on OPPS and PFS paid claims First 11 CR/ICR Services Within a single AMI or CABG model episode or AMI or CABG care period: $25 per service After 11 CR/ICR Services Within a single AMI or CABG model episode or AMI or CABG care period: $175 per service Source: Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) (CMS-5519-P) 20
21 Maximum Services Cardiac Rehabilitation (CR) Examples: exercise training, education on heart healthy living, counseling to reduce stress, etc. Two one-hour sessions/day For a total of 36 sessions total over 36 weeks Intensive Cardiac Rehabilitation (ICR) Example: similar services to CR provided more rigorously and frequently ICR program must illustrate within peer-reviewed, published research that it 1). a). positively affects the progression of coronary heart disease, b). reduces the need for CABG, or c). reduces the need for PCI, and 2). makes a statistically significant reduction in one or more of the following six measures: low density lipoprotein, triglycerides, BMI, systolic blood pressure, diastolic blood pressure, & need for cholesterol, blood pressure, and diabetes medications, in order to receive CMS approval. Six one-hour sessions/day For a total of 72 sessions total over 18 weeks 21
22 Limitations CR Incentive Payments cannot be included in gain-sharing arrangements. Understanding depth of impact: CR incentive model impact of Medicare program: range of $27 million in spending to $32 million in savings. HUGE range dependent on change in utilization of CR/ICR services under the incentive program. Source: Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) (CMS-5519-P) 22
23 CJR Refinements paccr.org
24 Overview: CJR Updates Creation of two separate tracks, Track 1 and Track 2, where Track 1 would create a pathway to qualification as Advanced APM. Track 1 has CEHRT requirement. Opens possibility for similar pathway for BPCI to meet Advanced APM criteria. Technical changes for quality scoring effect on reconciliation payments. Source: Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) (CMS-5519-P) 24
25 MACRA Background: Advanced APMs under the QPP Criteria for Advanced APMs Certified EHR Use APM requires participants to use certified EHR technology. Quality Measures APM bases payment on quality measures comparable to those in the MIPS quality performance category. Financial Risk APM entities bear more than nominal financial risk for monetary losses, OR: APM is a medical home expanded under CMMI authority. In APM with Advanced APM Designation Must meet qualifying thresholds for seeing statistically significant amount of Medicare patients within the APM or receiving statistically significant payment for services through the APM. Qualify as group All eligible clinicians in Advanced APM Entity become QPs for payment year. 25
26 Creation of Track 1 and Track 2: CEHR Requirement Fitting in with larger contexts of MACRA and Advanced APMs. In Track 1 CJR and its participant hospitals will meet criteria for Advanced APMs as proposed in Quality Payment Program in the MACRA proposed rule. Biggest change to be consistent with qualifying standards for Advanced APMs is CEHR requirement for CJR Track 1. Source: Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) (CMS-5519-P) 26
27 Quality Alignment with Language and Directives of MACRA Stronger connection & alignment with quality scoring of other CMS programs. Reducing threshold for defining quality measure improvement from 3 deciles to 2 deciles ultimately increasing number of CJR participant hospitals eligible for quality improvement points. Awarding up to 10% of maximum measure performance score on certain measures and imposing a cap on composite quality score at 20 points. Technical term change: episode target price to quality-adjusted target price. Source: Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) (CMS-5519-P) 27
28 Looking Forward paccr.org
29 Projected BPCI Updates EPMs aren t just for hospitals BPCI 2.0 is planned for 2018 onwards Adapted version of BPCI? Expanded version of BPCI? Voluntary models and mandatory models can coexist not either/or 29
30 Takeaways Driving towards the HHS goal of tying 50% of FFS payments to Alternative Payment Models. High-level: episode payment models, ACOs, and advanced primary care. While we see similarities to CJR, don t assume that this is the new norm. Seeking new approaches to episode payments for conditions/procedures that do not fit into this model. Expanding opportunities for MACRA incentives for Advanced APMs. New options to create pathways for qualifications. Expecting a final rule on new models this fall. 30
31 Connect with Post-Acute Care Center for Research (PACCR)
32 Appendix 1: Measures and Associated Performance Weights in Composite Quality Score Model Quality Measure Weight in Composite Quality Score Quality Domain/Weight MORT-30-AMI (NQF #0230) 50% AMI Excess Days 20% Outcome/ 80% AMI Model Hybrid AMI Mortality (NQF #2473) Voluntary Data HCAHPS Survey (NQF #0166) 20% Patient Experience/ 20% 10% CABG Model MORT-30-CABG (NQF #2558) 75% Outcome/ 75% HCAHPS Survey (NQF #0166) 25% Patient Experience/ 25% SHFFT Model Hip/Knee Complications (NQF #1550 THA/TKA voluntary PRO and limited risk variable submission 50% Outcome/ 50% 10% Patient Experience/ 50% HCAHPS Survey (NQF #0166) 40% Source: Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) (CMS-5519-P) 32
33 Appendix 2: Individual Measure Performance Scoring For Three Required AMI Quality Measures Performance Percentile MORT-30-AMI (Points) AMI Excess Days (Points) HCAHPS Survey (Points) 90 th th and <90 th th and <80 th th and <70 th th and <60 th th and <50 th th and <40 th <30 th Source: Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) (CMS-5519-P) 33
34 Appendix 3: Individual Measure Performance Scoring For Two Required CABG Quality Measures Performance Percentile MORT-30-CABG (Points) HCAHPS Survey (Points) 90 th th and <90 th th and <80 th th and <70 th th and <60 th th and <50 th th and <40 th <30 th Source: Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) (CMS-5519-P) 34
35 Appendix 4:Individual Measure Performance Scoring For Two Required SHFFT Quality Measures Performance Percentile Hip/Knee Complications (Points) HCAHPS Survey Quality Score (Points) 90 th th and <90 th th and <80 th th and <70 th th and <60 th th and <50 th th and <40 th <30 th Source: Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) (CMS-5519-P) 35
Alternative Payment Models: Trends and Tactics for Success
Alternative Payment Models: Trends and Tactics for Success James Michel Senior Director, Medicare Reimbursement & Policy American Health Care Association November 15, 2016 Discussion Review CMS priorities
More informationThe Pain or the Gain?
The Pain or the Gain? Comprehensive Care Joint Replacement (CJR) Model DRG 469 (Major joint replacement with major complications) DRG 470 (Major joint without major complications or comorbidities) Actual
More informationEpisode Payment Models Final Rule & Analysis
Episode Payment Models Final Rule & Analysis February 15, 2017 Agenda Overview Changes from Proposed Rule Categorization of Episodes Episode Attribution Reconciliation Quality Performance Cardiac Rehab
More informationMaking CJR Work for You. A Roadmap for Successful Implementation of Medicare Bundles
December 10, 2015 Making CJR Work for You A Roadmap for Successful Implementation of Medicare Bundles https://innovation.cms.gov/initiatives/cjr Sheldon Hamburger shamburger@thearistonegroup.com (248)
More information4/9/2016. The changing health care market THE CHANGING HEALTH CARE MARKET. CPAs & ADVISORS
CPAs & ADVISORS experience support // ADVANCED PAYMENT MODELS: CJR Eric. M. Rogers MEd. RT(R) Managing Consultant The changing health care market THE CHANGING HEALTH CARE MARKET HHS goal of 30% of traditional
More informationCPAs & ADVISORS. experience support // ADVANCED PAYMENT MODELS: CJR
CPAs & ADVISORS experience support // ADVANCED PAYMENT MODELS: CJR Andy M. Williams Partner BKD Eric M. Rogers Managing Consultant BKD Will McLeod VP of Patient Services McLeod Health Emily Adams Associate
More informationQuality Provisions in the EPM Proposed Rule. Matt Baker Scott Wetzel
Quality Provisions in the EPM Proposed Rule Matt Baker Scott Wetzel Overview Quality Scoring Overview Quality Metrics in AMI and CABG EPMs Quality Metrics in SHFFT EPMs COTH Performance in these programs
More informationEpisode Payment Models:
Episode Payment Models: Cardiac Bundle Initiative HFMA Florida Chapter (North Florida) October 25, 2016 Robert Howey MBA, MHA, CPA Revenue Cycle Manager 2016 MFMER slide-1 Objective After the session,
More informationQuality Provisions in the EPM Final Rule. Matt Baker Scott Wetzel
Quality Provisions in the EPM Final Rule Matt Baker Scott Wetzel Overview Quality Scoring Overview Quality Metrics in AMI and CABG EPMs Quality Metrics in SHFFT EPMs COTH Performance in these programs
More informationRedesigning Post-Acute Care: Value Based Payment Models
Redesigning Post-Acute Care: Value Based Payment Models Liz Almeida-Sanborn, MS, PT President Preferred Therapy Solutions This session will address: Discussion of the emergence of voluntary and mandatory
More informationFurthering the agency s stated intention to pay for value over volume,
in the news Health Care September 2016 The Future Is Now: CMS Proposes Broad Bundled Payment Expansion for Cardiac Care Episodes In this Issue: Episode Payment Models... 2 Cardiac Rehabilitation Incentives...
More informationCJR Final Rule: Policy Changes and Strategies for Bundled Payment Success
CJR Final Rule: Policy Changes and Strategies for Bundled Payment Success Melinda Hancock, Edward Stall, Craig Tolbert, Michael Wolford Friday, November 20, 2015 1 Agenda 1) Overview of CJR Model 2) Policy
More informationThe New World of Value Driven Cardiac Care
1 The New World of Value Driven Cardiac Care Disclosures MPA Healthcare Solutions is an analytic health care consultancy that provides clients with insight into clinical performance; aids them in the evaluation,
More informationHOSPITALS & HEALTH SYSTEMS: DATA-DRIVEN STRATEGY FOR BUNDLED PAYMENT SUCCESS 4/19/2016. April 20, 2016
HOSPITALS & HEALTH SYSTEMS: DATA-DRIVEN STRATEGY FOR BUNDLED PAYMENT SUCCESS April 20, 2016 Eddie Marmouget National Industry Partner emarmouget@bkd.com Eric Rogers Managing Consultant erogers@bkd.com
More informationPREPARING FOR RISK-BASED OUTCOMES OF BUNDLED CARE
CPAs & ADVISORS experience support // PREPARING FOR RISK-BASED OUTCOMES OF BUNDLED CARE Jackie Nussbaum MHA, CPC, CHFP, FHFMA Director Eric Rogers M.Ed. RT Managing Consultant THE CHANGING HEALTH CARE
More informationQuestions and Answers on the CMS Comprehensive Care for Joint Replacement Model
Questions and Answers on the CMS Comprehensive Care for Joint Replacement Model MEGGAN BUSHEE, ESQ. 704.343.2360 mbushee@mcguirewoods.com 201 North Tryon Street, Suite 3000 Charlotte, North Carolina 28202-2146
More informationComprehensive Care for Joint Replacement (CJR) Readiness Kit
Comprehensive Care for Joint Replacement (CJR) Readiness Kit Contents CMS Announces Shift From Volume To Value...2 Top Things To Know About CJR Final Rule...3 Proposed Timeline For CJR...4 Who Is Impacted?...5
More informationLearning Objectives. CMS Plans to Transform Healthcare. Leveraging CDI to Improve Performance Under Alternative Payment Model (APM) Methodology
1 Leveraging CDI to Improve Performance Under Alternative Payment Model (APM) Methodology Wayne Little, Partner Michelle Wieczorek, Senior Manager Ericson, Cheryl, Manager DHG Healthcare, Atlanta, GA Learning
More informationWhat 2017 Holds for Medicare Value-Based Transformation: Finalization of the Advancing Care Coordination Rule and Much More
January 19, 2017 What 2017 Holds for Medicare Value-Based Transformation: Finalization of the Advancing Care Coordination Rule and Much More HDG Webinar Series Brian Ellsworth, MA, Director, Payment Transformation
More informationComparison of Bundled Payment Models. Model 1 Model 2 Model 3 Model 4. hospitals, physicians, and post-acute care where
Comparison of Bundled Payment Models General Description Eligible awardees Retrospective bundled Retrospective bundled payment models for payment models for hospitals, physicians, and post-acute care where
More informationSummary and Analysis of CMS Proposed and Final Rules versus AAOS Comments: Comprehensive Care for Joint Replacement Model (CJR)
Summary and Analysis of CMS Proposed and Final Rules versus AAOS Comments: Comprehensive Care for Joint Replacement Model (CJR) The table below summarizes the specific provisions noted in the Medicare
More informationMEDICARE UPDATES: VBP, SNF QRP, BUNDLING
MEDICARE UPDATES: VBP, SNF QRP, BUNDLING PRESENTED BY: ROBIN L. HILLIER, CPA, STNA, LNHA, RAC-MT ROBIN@RLH-CONSULTING.COM (330)807-2850 MEDICARE VALUE BASED PURCHASING 1 PROTECTING ACCESS TO MEDICARE ACT
More informationData-Driven Strategy for New Payment Models. Objectives. Common Acronyms
Data-Driven Strategy for New Payment Models Mark Sharp, CPA Partner msharp@bkd.com Objectives Understand new payment model reforms and bundling arrangements Learn how these new payment models can impact
More informationMIPS, MACRA, & CJR: Medicare Payment Transformation. Presenter: Thomas Barber, M.D. May 31, 2016
MIPS, MACRA, & CJR: Medicare Payment Transformation Presenter: Thomas Barber, M.D. May 31, 2016 Michael Porter- Value Based Care Delivery, Annals of Surgery 2008 Principals: Define Value as a Goal Care
More informationMEDICARE COMPREHENSIVE CARE FOR JOINT REPLACEMENT MODEL (CCJR) Preparing for Risk-Based Outcomes of Bundled Care 8/12/2015.
MEDICARE COMPREHENSIVE CARE FOR JOINT REPLACEMENT MODEL (CCJR) Preparing for Risk-Based Outcomes of Bundled Care August 13, 2015 Eric M. Rogers MEd RT(R) Managing Consultant erogers@bkd.com Jeff Bond President
More informationComprehensive Care for Joint Replacement (CJR): Understanding the CMS Mandatory TJR Bundling Webinar
Comprehensive Care for Joint Replacement (CJR): Understanding the CMS Mandatory TJR Bundling Webinar December 8, 2015 Director: Craig Robert Mahoney, MD Faculty: Alexandra Page, MD and Brian McCardel,
More informationStructuring Comprehensive Care for Joint Replacements Collaborator Agreements
Presenting a live 90-minute webinar with interactive Q&A Structuring Comprehensive Care for Joint Replacements Collaborator Agreements Selecting Partners, Implementing CJR Arrangements, Ensuring Compliance
More informationACCOUNTABLE CARE ORGANIZATION & ALTERNATIVE PAYMENT MODEL SUMMIT
ACCOUNTABLE CARE ORGANIZATION & ALTERNATIVE PAYMENT MODEL SUMMIT The Centers for Medicare and Medicaid Services Kate Goodrich, MD MHS Director, Clinical Standards & Quality Chief Medical Officer 1 DISCLAIMERS
More informationCJR Model Update: December 2017 Final Rule and Interim Final Rule with Comment
Joint Replacement Model CJR Model Update: December 2017 Final Rule and Interim Final Rule with Comment Joint Replacement Model December 13, 2017 Presenters: Lisa Opdycke, MPP Sarah Mioduski, JD Audio available
More informationAlternative Payment Models and Health IT
Alternative Payment Models and Health IT Health DataPalooza Preconference May 8, 2016 Kelly Cronin, MS, MPH, Director, Office of Care Transformation, ONC/HHS HHS Goals for Medicare Payment Reform In January
More informationMaximizing Success in a Bundled Payment Environment
Maximizing Success in a Bundled Payment Environment Melinda S. Hancock, FHFMA,CPA Partner, DHG Healthcare 2015-16 Chair, HFMA Wisconsin January 2016 Go Beyond Current Experiences 2 Go Beyond the Status
More informationOur comments focus on the following provisions of the Proposed Rule:
September 8, 2015 VIA ELECTRONIC FILING Mr. Andrew Slavitt, Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-5516-P Mail Stop C4-26-05
More information4/26/2016. The future is not what it used to be. Driving Transformation for Comprehensive Care for Joint Replacement (CJR) Understand Redesign Align
Driving Transformation for Comprehensive Care for Joint Replacement (CJR) Redesign Align 22 ND A N N U A L M ID W E S T C A R E C O O R D IN AT IO N C O N F E R E N C E The future is not what it used to
More informationPAYMENT INNOVATION: Real Examples of Client Implementation. Craig Tolbert & Michael Wolford
PAYMENT INNOVATION: Real Examples of Client Implementation Craig Tolbert & Michael Wolford 2 PINNACLE SPEAKER PROFILE CRAIG TOLBERT Principal DHG Healthcare Birmingham, AL PINNACLE SPEAKER PROFILE MICHAEL
More informationPartners in the Continuum of Care: Hospitals and Post-Acute Care Providers
Partners in the Continuum of Care: Hospitals and Post-Acute Care Providers Presented to the Wisconsin Association for Home Health Care November 3, 2017 By: Laura Rose WHA Vice President, Policy Development
More informationSwapping, Kickbacks, Fair Market Value: Risks for a Post-Acute Provider
Swapping, Kickbacks, Fair Market Value: Risks for a Post-Acute Provider Alan Schabes, Partner Benesch, Friedlander, Coplan & Aronoff LLP Shannon Drake, VP, Associate General Counsel Kindred at Home Amanda
More informationHow to Make CJR a Success Negotiating Gainsharing Agreements. Friday, April 29, 2016
How to Make CJR a Success Negotiating Gainsharing Agreements Friday, April 29, 2016 2016 Foley & Lardner LLP Attorney Advertising Prior results do not guarantee a similar outcome Models used are not clients
More informationThe IRF PPS FY 2017 Final Rule: What It Portends for Our Future
The IRF PPS FY 2017 Final Rule: What It Portends for Our Future Presenter: Carolyn C. Zollar, MA, J.D. Executive Vice President of Government Relations and Policy Development czollar@amrpa.org AMRPA Webinar
More information08/07/2015. Next Generation ACO Model. What is an ACO? Preliminary Beneficiary Engagement Timeline
Next Generation ACO Model National Training Program RO V and RO VII St. Louis August 10-11, 2015 What is an ACO? Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health
More information3/16/2016. Swapping, Kickbacks, Fair Market Value: Risks for a Post-Acute Provider. AKS designed to prevent improper referrals, which can lead to:
Swapping, Kickbacks, Fair Market Value: Risks for a Post-Acute Provider Alan Schabes, Partner Benesch, Friedlander, Coplan & Aronoff LLP Shannon Drake, VP, Associate General Counsel Kindred at Home Amanda
More informationMACRA for Critical Access Hospitals. Tuesday, July 26, 2016 Webinar
MACRA for Critical Access Hospitals Tuesday, July 26, 2016 Webinar MACRA presenters Harold D. Miller, President & CEO CHQPR Claudia Sanders, Sr. Vice President, Policy Development Andrew Busz, Policy Director,
More informationPost-Acute Care Networks: How to Succeed and Why Many Fail to Deliver JULY 18, 2016
Post-Acute Care Networks: How to Succeed and Why Many Fail to Deliver HEALTH FORUM AND AHA LEADERSHIP SUMMIT JULY 18, 2016 SAN DIEGO, CALIFORNIA Please note that the views expressed are those of the conference
More informationTHE ALPHABET SOUP OF MEDICAL PAYMENTS: WHAT IS MACRA, VBP AND MORE! Lisa Scheppers MD FACP Margo Ferguson MT MSOM
THE ALPHABET SOUP OF MEDICAL PAYMENTS: WHAT IS MACRA, VBP AND MORE! Lisa Scheppers MD FACP Margo Ferguson MT MSOM THE REASON FOR CHANGE VOLUME TO VALUE Fee-for-service PAYMENT Bundled, Shared Patient FOCUS
More informationPost-Acute Care Networks: How to Succeed and Why Many Fail to Deliver JULY 18, 2016
Post-Acute Care Networks: How to Succeed and Why Many Fail to Deliver HEALTH FORUM AND AHA LEADERSHIP SUMMIT JULY 18, 2016 SAN DIEGO, CALIFORNIA Please note that the views expressed are those of the conference
More informationSucceeding in Value-Based Care CareConnect Journey
Succeeding in Value-Based Care CareConnect Journey Donna Mueller VP Network Development dmueller@infinityrehab.com 360-201-2703 Jake Arrastia VP Strategy Development & Innovation jrarrastia@infinityrehab.com
More informationAccountable Care and the Laboratory Value Proposition. Les Duncan Director of Operations Highmark Health - Home and Community Services
Accountable Care and the Laboratory Value Proposition Les Duncan Director of Operations Highmark Health - Home and Community Services Agenda The Goals and Status of Delivery System Reform and Alternative
More information2017 Cardiovascular Market Update
Cardiovascular Roundtable 2017 Cardiovascular Market Update Aaron Mauck, Ph.D. Senior Consultant Cardiovascular Roundtable maucka@advisory.com research technology consulting Road Map 6 1 2 The New Health
More informationDistribution of Post-Acute Care under CJR Model of Lower Extremity Joint Replacements for MS-DRG 470
Distribution of Post-Acute Care under CJR Model of Lower Extremity Joint Replacements for MS-DRG 470 Introduction The goal of the Medicare Comprehensive Care for Joint Replacement (CJR) payment model is
More informationBundled Payment Primer
Bundled Payment Primer CMS Opened Application February 14, 2014 Why this matters to you! Bundling is a New Business Model Bundling is a focused opportunity to manage risk and achieve gain Control of a
More informationA Brave New World: Lessons Learned From Healthcare Reform. Brandy Shumaker, MBA, LPTA, LNHA Regional Vice President HealthPRO/Heritage
A Brave New World: Lessons Learned From Healthcare Reform Brandy Shumaker, MBA, LPTA, LNHA Regional Vice President HealthPRO/Heritage 1 Learning Objectives Participants will understand: The impact health
More informationQuality, Cost and Business Intelligence in Healthcare
Quality, Cost and Business Intelligence in Healthcare Maitri Vaidya Population Health Executive DBA, MHA, CPHQ May 2016 Where are we going? IHI Triple Aim Improve the patient experience of care Lower
More informationWound Care Reimbursement. Things Are A-Changing!
Wound Care Reimbursement Things Are A-Changing! Kathleen D. Schaum, MS President Kathleen D. Schaum & Assoc., Inc. kathleendschaum@bellsouth.net 561-964-2470 Disclosure No relevant financial relationships
More informationMedicare Physician Payment Reform:
Medicare Physician Payment Reform: Implications and Options for Physicians and Hospitals Background The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was signed into law on April 14, 2015.
More informationSurgical Directions
Surgical Directions 2015 1 Sample Clients (540+) and Growing! Surgical Directions has been the trusted partner in helping over 540 hospitals transform perioperative and anesthesia services. Surgical Directions
More informationCMS Quality Payment Program: Performance and Reporting Requirements
CMS Quality Payment Program: Performance and Reporting Requirements Session #QU1, February 19, 2017 Kristine Martin Anderson, Executive Vice President, Booz Allen Hamilton Colleen Bruce, Lead Associate,
More informationCMS Bundled Payments Initiative
October 4, 2011 Practice Groups: Health Care Health Care Reform CMS Bundled Payments Initiative By Richard P. Church and Irene B. Nsiah The Patient Protection and Affordable Care Act ( PPACA ), Pub. Law
More informationagenda Speaker Introductions Audience Poll Understanding Bundled Payments Importance of Physician Alignment Best Practices for Physician Engagement
agenda Speaker Introductions Audience Poll Understanding Bundled Payments Importance of Physician Alignment Best Practices for Physician Engagement Q&A meet our speakers Susan Boydell Partner Barlow/McCarthy
More informationCenters for Medicare & Medicaid Services (CMS) Quality Improvement Program Measures for Acute Care Hospitals - Fiscal Year (FY) 2020 Payment Update
ID Me asure Name NQF # Value- (VBP) - (HACRP) (HRRP) ID Me asure Name NQF # Value- (VBP) - (HACRP) (HRRP) CMS s - Fiscal Year 2020 Centers for Medicare & Medicaid Services (CMS) Improvement s for Acute
More informationMedicare Value Based Purchasing August 14, 2012
Medicare Value Based Purchasing August 14, 2012 Wes Champion Senior Vice President Premier Performance Partners Copyright 2012 PREMIER INC, ALL RIGHTS RESERVED Premier is the nation s largest healthcare
More informationFinancial Policy & Financial Reporting. Jay Andrews VP of Financial Policy
Financial Policy & Financial Reporting Jay Andrews VP of Financial Policy 1 Members & Groups Supported Center for Healthcare Excellence Hospital Leadership & Quality Departments Hospital Finance Departments
More informationCore Metrics for Better Care, Lower Costs, and Better Health
Core Metrics for Better Care, Lower Costs, and Better Health IOM Roundtable on Value & Science-Driven Health Care September 27, 2012 Washington, D.C. Sam Nussbaum, M.D. Executive Vice President, Clinical
More informationWhat s Next for CMS Innovation Center?
What s Next for CMS Innovation Center? A Guide to Building Successful Value-Based Payment Models Given CMMI s New Focus on Voluntary, Home-Grown Initiatives W W W. H E A L T H M A N A G E M E N T. C O
More informationPrior to implementation of the episode groups for use in resource measurement under MACRA, CMS should:
Via Electronic Submission (www.regulations.gov) March 1, 2016 Andrew M. Slavitt Acting Administrator Centers for Medicare and Medicaid Services 7500 Security Boulevard Baltimore, MD episodegroups@cms.hhs.gov
More informationApril 26, Ms. Seema Verma, MPH Administrator Centers for Medicare & Medicaid Services. Dear Secretary Price and Administrator Verma:
April 26, 2017 Thomas E. Price, MD Secretary Department of Health and Human Services Hubert H. Humphrey Building 200 Independence Avenue, SW Washington, DC 20201 Ms. Seema Verma, MPH Administrator Centers
More informationEmerging Issues in Post Acute Care Trends
Emerging Issues in Post Acute Care Trends Lavonne Elston, PT Senior Director of Operations & Strategic Initiatives Skilled Nursing & Rehabilitation Kingston HealthCare Company April 28, 2016 Disclosures
More informationQuality Based Impacts to Medicare Inpatient Payments
Quality Based Impacts to Medicare Inpatient Payments Overview New Developments in Quality Based Reimbursement Recap of programs Hospital acquired conditions Readmission reduction program Value based purchasing
More information(202) or CMS Proposals to Improve Quality of Care during Hospital Inpatient Stays
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 FACT SHEET FOR IMMEDIATE RELEASE April 30, 2014 Contact: CMS Media
More informationFY 2014 Inpatient PPS Proposed Rule Quality Provisions Webinar
FY 2014 Inpatient PPS Proposed Rule Quality Provisions Webinar May 23, 2013 AAMC Staff: Scott Wetzel, swetzel@aamc.org Mary Wheatley, mwheatley@aamc.org Important Info on Proposed Rule In Federal Register
More informationBundled Payments to Align Providers and Increase Value to Patients
Bundled Payments to Align Providers and Increase Value to Patients Stephanie Calcasola, MSN, RN-BC Director of Quality and Medical Management Baystate Health Baystate Medical Center Baystate Health Is
More informationThe Future of Healthcare Delivery; Are we ready?
The Future of Healthcare Delivery; Are we ready? Lisa K. Saladin, PT, PhD, FAPTA Dean and Professor Medical University of South Carolina copyright LisaSaladin 2016 Objectives 1. Discuss 5 of the projected
More informationImproving Quality of Care for Medicare Patients: Accountable Care Organizations
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services Improving Quality of Care for Medicare Patients: FACT SHEET Overview http://www.cms.gov/sharedsavingsprogram On October
More informationValue Based Care: Trends for Boston Chicago Houston Los Angeles Miami San Francisco Washington, DC
Value Based Care: Trends for 2018 Boston Chicago Houston Los Angeles Miami San Francisco Washington, DC Need head shot David Fairchild, MD Director BDC Advisors Dave Terry CEO & Co-Founder Archway Health
More informationCMS AMI and CABG Bundled Payment Initiative AMGA HF Collaborative December 13, 2016
CMS AMI and CABG Bundled Payment Initiative AMGA HF Collaborative December 13, 2016 Agenda Collaborative Learnings HF Correlation to AMI and CABG Bundled Payments CMS AMI & CABG Bundled Payment Programs
More informationOctober 3, Dear Dr. Conway:
October 3, 2016 Patrick Conway Centers for Medicare and Medicaid Services Department of Health and Human Services Attention: CMS-5519-P P.O. Box 8013 Baltimore, MD 21244-1850 Dear Dr. Conway: Thank you
More informationBundled Payments KEY CAPABILITIES. for working with the Comprehensive Care for Joint Replacement (CJR) model
Bundled Payments KEY CAPABILITIES for working with the Comprehensive Care for Joint Replacement (CJR) model CJR Takes Aim at Variations in Care Cost and Quality Hip and knee replacements are among the
More informationHospital Inpatient Quality Reporting (IQR) Program
Hospital IQR Program Hybrid Hospital-Wide 30-Day Readmission Measure Core Clinical Data Elements for Calendar Year 2018 Voluntary Data Submission Questions and Answers Moderator Artrina Sturges, EdD, MS
More informationPHCA Webinar January 30, Latsha Davis & McKenna, P.C. Kimber L. Latsha, Esq.
PHCA Webinar January 30, 2014 Latsha Davis & McKenna, P.C. Kimber L. Latsha, Esq. 1 2 Intended to: Encourage the development of ACOs in Medicare Promotes accountability for a patient population and coordinates
More information1/14/2013. Emerging Healthcare Issues: How Will They Impact Hospital Reimbursement? EMERGING HEALTHCARE TOPICS FOR DISCUSSION
2013 University of California Compliance & Audit Symposium Lori Laubach, Partner Sharon Hartzel, Director Health Care Consulting Moss Adams LLP Emerging Healthcare Issues: How Will They Impact Hospital
More informationThe Center for Medicare & Medicaid Innovations: Programs & Initiatives
The Center for Medicare & Medicaid Innovations: Programs & Initiatives Rob Stone, Esq. American Health Lawyers Association Institute on Medicare & Medicaid Payment Issues March 30-April 1, 2012 CMMI Mission
More informationWELCOME. Kate Gainer, PharmD Executive Vice President and CEO Iowa Pharmacy Association
WHAT IS MACRA? WELCOME Kate Gainer, PharmD Executive Vice President and CEO Iowa Pharmacy Association WELCOME Anthony Pudlo, PharmD, MBA, BCACP Vice President of Professional Affairs Iowa Pharmacy Association
More informationSubmitted electronically:
Mr. Andy Slavitt Acting Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Attention: CMS-5517-FC P.O. Box 8013 7500 Security Boulevard Baltimore, MD 21244-8013
More informationWhat Have we Learned from the Pioneer ACO Model?
What Have we Learned from the Pioneer ACO Model? Sherly Binu, CMMI December 7, 2016 Disclaimers 2 This presentation was prepared as a tool to assist providers and is not intended to grant rights or impose
More informationRegulatory Advisor Volume Eight
Regulatory Advisor Volume Eight 2018 Final Inpatient Prospective Payment System (IPPS) Rule Focused on Quality by Steve Kowske WEALTH ADVISORY OUTSOURCING AUDIT, TAX, AND CONSULTING 2017 CliftonLarsonAllen
More informationSNF * Readmissions Bootcamp The SNF Readmission Penalty, Post-Acute Networks, and Community Collaboratives
SNF * Readmissions Bootcamp The SNF Readmission Penalty, Post-Acute Networks, and Community Collaboratives Lindsay Holland, MHA Associate Director, Care Transitions Health Services Advisory Group (HSAG)
More informationPhysician Performance Analytics: A Key to Cost Savings
Physician Performance Analytics: A Key to Cost Savings Session #90, February 21, 2017 Jim Gera, SVP of Business Development, Signature Medical Group, Inc. 1 Speaker Introduction Jim Gera, MBA SVP of Business
More informationVALUE PAYMENT: A NEW REIMBURSEMENT SYSTEM USING QUALITY AS CURRENCY
VALUE PAYMENT: A NEW REIMBURSEMENT SYSTEM USING QUALITY AS CURRENCY Danielle Hansen, DO, MS (Med Ed), MHSA Healthcare Quality/ Value Challenge 1 Value-Based Programs Supports the IHI Triple Aim: 1. Better
More informationCMS in the 21 st Century
CMS in the 21 st Century ICE 2013 ANNUAL CONFERENCE David Saÿen, MBA Regional Administrator Centers for Medicare & Medicaid Services San Francisco November 15, 2013 The strategy is to concurrently pursue
More informationMACRA & Implications for Telemedicine. June 20, 2016
MACRA & Implications for Telemedicine June 20, 2016 Presentation Overview Introductions Deep Dive Into MACRA Implications for Telemedicine Questions Growth in Value-Based Care Over Next Two Years Growth
More informationStrategic Implications & Conclusion
Kelly Court Chief Quality Officer Wisconsin Hospital Association Brian Vamstad Government Relations Consultant Gundersen Health System Overview and Key Takeaways of the Medicare Quality Payment Program
More informationAssignment of Medicare Fee-for-Service Beneficiaries
February 6, 2015 Ms. Marilyn B. Tavenner, Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-1461-P Room 445-G, Hubert H. Humphrey Building 200
More informationMedicare Spending and Rehospitalization for Chronically Ill Medicare Beneficiaries: Home Health Use Compared to Other Post-Acute Care Settings
Medicare Spending and Rehospitalization for Chronically Ill Medicare Beneficiaries: Home Health Use Compared to Other Post-Acute Care Settings May 11, 2009 Avalere Health LLC Avalere Health LLC The intersection
More informationSVS QUALITY AND PERFORMANCE MEASURES COMMITTEE (QPMC) New Member Orientation
SVS QUALITY AND PERFORMANCE MEASURES COMMITTEE (QPMC) New Member Orientation 2017-2018 SVS QPMC Quality and Performance Measures Committee Policy and Advocacy Council (Chair Sean Roddy) Chair: Brad Johnson,
More informationQuality Measurement and Reporting Kickoff
Quality Measurement and Reporting Kickoff All Shared Savings Program ACOs April 11, 2017 Sandra Adams, RN; Rabia Khan, MPH Division of Shared Savings Program Medicare Shared Savings Program DISCLAIMER
More informationFebruary 2, L Street, NW, Washington, DC T: F:
February 2, 2018 Dr. Jeet Guram Special Advisor to the Administrator Centers for Medicare & Medicaid Services U.S. Department of Health & Human Services 200 Independence Avenue, S.W. Washington, D.C. 20201
More informationWhat is Value-Based Care
Genesis HealthCare Value-Based Care Initiatives and BPCI Model 3 Aug 4, 2017 Copyright 2017 by Genesis HealthCare LLC. All Rights Reserved. What is Value-Based Care 2 Value-based care delivery is an approach
More informationPost-Acute Care. December 6, 2017 Webinar Louise Bryde and Doug Johnson
Post-Acute Care December 6, 2017 Webinar Louise Bryde and Doug Johnson Topics for Discussion Background What Is Post Acute Care? Lexicon Levels of Care Why Focus on Post Acute Care? Emerging PAC Trends
More information2017 Quality Reporting: Claims and Administrative Data-Based Quality Measures For Medicare Shared Savings Program and Next Generation ACO Model ACOs
2017 Quality Reporting: Claims and Administrative Data-Based Quality Measures For Medicare Shared Savings Program and Next Generation ACO Model ACOs June 15, 2017 Rabia Khan, MPH, CMS Chris Beadles, MD,
More informationImproving bundled payments in the Medicare program
May 2018 Improving bundled payments in the Medicare program John A. Romley Paul B. Ginsburg USC-Brookings Schaeffer Initiative for Health Policy This report is available online at: https://www.brookings.edu/research/improving-bundled-payments-in-the-medicare-program
More informationThe Role of Analytics in the Development of a Successful Readmissions Program
The Role of Analytics in the Development of a Successful Readmissions Program Pierre Yong, MD, MPH Director, Quality Measurement & Value-Based Incentives Group Centers for Medicare & Medicaid Services
More informationramping up for bundled payments fostering hospital-physician alignment
REPRINT May 2016 Angie Curry James P. Fee healthcare financial management association hfma.org ramping up for bundled payments fostering hospital-physician alignment AT A GLANCE When hospitals embark on
More information