Leveraging data to improve your 3-Day Rule Waiver program
This post is Part Two of our coverage of the 3-day rule waiver and explains how to use data analytics to strengthen your 3-day rule waiver program. Part One shared strategies for building a program to manage this patient population. Our first post on the 3-day rule waiver focused on considerations for building a program, […]
A proven program for managing 3-Day Rule Waiver patients
This is the first in a two-part series on 3-day waivers. Stay tuned for the next post on how to manage data to make improvements to your program over time. Under traditional Medicare fee-for-service, a patient must spend at least three days as an inpatient at a hospital to qualify for coverage at a skilled […]
BPCI Advanced: evidence that value-based payment is here to stay
Late in 2017, when CMS cancelled two planned mandatory bundled payment programs and decreased the number of participants in a third, many viewed the decision as a blow to healthcare payment reform efforts. But the recent announcement of the BPCI Advanced program proves that CMS remains committed to leveraging value-based payment models to improve patient […]
Skilled nursing facility incentives help hospitals
At the recent American Case Management Association (ACMA) Leadership and Physician Advisor Conference, a common theme was how hospitals and health systems can leverage upcoming skilled nursing facility quality incentives to achieve more engagement and information sharing from their networks. Through the Skilled Nursing Facility Value-Based Purchasing Program from Medicare SNFs will be eligible for […]
CMS proposes cancelling select bundled payments
In August, CMS released proposed changes to select bundled payment programs. The proposed rule would affect the following payment programs: Comprehensive Care for Joint Replacement (CJR) Model: Currently, there is mandatory participation in this model in 67 geographic areas. CMS proposes to reduce the number of geographic areas that must participate to 34, and […]
Care coordination Summit part 2: managing costs through partnerships and quality care
This is part two of a two-part series about our recent Care Coordination summit in Detroit. You can read part one – covering the benefits of performing a preferred provider network – here. One of the highlights of the event was a panel discussion about what it’s like to be on the front lines at […]
Detroit Care Coordination Summit: benefits of forming a post-acute provider network
Recently, CarePort Health held a Care Coordination Summit in Detroit, Michigan, where local leaders in care transformation came together to share their challenges and ideas. This post is the first in a two-part series that covers our discussions at the summit. CarePort CEO Dr. Lissy Hu began the event with an update on value-based care […]
How to balance patient choice and preferred provider networks
With the 2018 Medicare Hospital Inpatient Prospective Payment System final rule due to be released soon, health systems are trying to predict how they will be affected by Medicare’s continued attempts to control health care spending. Medicare is just starting to focus attention post-acute care (PAC) spending. This is because 23% of total Medicare dollars […]