With good reason, the Centers for Medicare & Medicaid Services (CMS) has signaled a move toward holding providers accountable for 90-day readmission rates as opposed to 30 days that have been the focus since the Hospital Readmission Reduction Program (HRRP) was first announced in 2010.
CMS has proposed cutting back on mandatory bundled payment models. Why not improve them instead?
With bundle episode lengths increasing and the list of clinical episodes growing, population health management will continue to align with the implementation of bundled payments.
The first year of the CMS-mandated Comprehensive Care for Joint Replacement (CJR) model is over. In just a few weeks, CMS will release CJR files to the approximately 800 acute care hospitals included as CJR participants.
Organizations subject to CJR can learn how to submit requests for reconsideration and get paid, with the help of our reconciliation roadmap infographic.
Healthcare saw some big changes in 2016.
CMS identifies final rule and the 98 markets mandated to participate in a bundled payment program for cardiac care, as well as surgical hip and femur fracture care.
Organizations that resist the shift to value-based reimbursement are delaying the inevitable, and losing ground to their competitors.
If your organization is facing CJR target pricing, you won’t be able to recognize improvement until you evaluate your organization’s baseline performance.
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