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Category Archives: Medicare

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Health Reward Stat of the Day – Feb 13

As of December 2014, more than 431,000 health care providers received payment for participating in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. In May 2013, CMS announced that more than half of all eligible health care providers had been paid under the Medicare and Medicaid EHR Incentive Programs.

More than $18.8 billion in […]

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Health Reward Stat of the Day – Feb 9

More than three dozen hospitals across the U.S. will be penalized more than 3% on most of their CMS reimbursements in 2015, the first year in which the agency’s three Medicare quality and safety incentive programs will be in effect.
According to a Modern Healthcare analysis of CMS data on penalties for fiscal 2015, when readmission, hospital-acquired condition […]

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Health Reward Stat of the Day – Jan 26

As of November 2014, more than 428,000 health care providers received payment for participating in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs.  In May 2013, CMS announced that more than half of all eligible health care providers had been paid under the Medicare and Medicaid EHR Incentive Programs. Read the press release here.
State […]

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Health Reward Stat of the Day – Jan 22

 
According to the 2013 Population Health Survey (June 02, 2014) by The Advisory Group:

A majority of respondents deploy high-risk care managers who coordinate care for 200 patients or less
57% of respondents will convert the majority of practices (75% or more) to the medical home model across the next three years
45% of respondents are integrating behavioral health […]

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Health Reward Stat of the Day – Jan 21

According to The Advisory Board, their analysis indicates that 850 hospitals can expect to at least break even after considering VBP and readmissions in aggregate, yet 184 of those hospitals (roughly 5% of all hospitals in the program) can expect a negative net P4P impact, solely due to the (proposed) HAC penalty. These estimates indicate […]

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Lots of Changing Rules and Regs on Health Rewards. Here are some blog post on the topic

Legislative History of Health Rewards – We’ve Come a Long Way
Front Page of the Wall Street Journal for the Wrong Reason – Rewards in Healthcare Up the Ante on Design and Execution
CMS Issues Final Guidance on Rewards and Incentives…Here’s What MA Plans Can and Can’t Do
CMS Long-Awaited Expansion of Medicare Rewards Adds Key Tool to […]

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Health Rewards Stat of the Day – Jan 16

According to The Advisory Board, 358 hospitals (11%) are expected to be penalized under VBP, readmissions, and HAC and the largest combined net penalty will be -3.42% and the average penalty will be $1,000,000.

http://www.advisory.com/research/care-transformation-center/care-transformation-center-blog/2014/12/vbp-and-hac-adjustments-fy-2015

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Health Reward Stat of the Day – Jan 15

According to The Advisory Board, the results are in for the value-based purchasing (VBP) and hospital-acquired conditions (HAC) adjustments that will apply in FY 2015 based on data released in nid December. Taken together with the finalized readmissions penalties that were announced in September, we now have a complete picture of how hospitals paid under the inpatient prospective […]

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Health Rewards Stat of the Day – Jan 13

According to The Advisory Board, in their preliminary analysis of the proposed HAC penalties, they stated that a 1% HAC penalty would generally foreshadow a net negative P4P loss in FY 2015. After reviewing the final results, this insight still holds true: 98% of hospitals receiving a HAC penalty are expected to see an overall net […]

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Health Reward Stat of the Day – Jan 12

According to The Advisory Board, the following percentage of hospitals will have bundled payment contracts and ACO contracts in place:
Will likely have bundled payment contracts in place:

2012: 41%
2013: 75%
2014: 92%
2015: 97%

Will likely have ACO contracts in place:

2012: 15%
2013: 45%
2014: 65%
2015: 75%

http://www.advisory.com/~/media/Advisory-com/Research/HCAB/Resources/2012/Posters/Payment-models/The-Field-Guide-to-Payment-Innovation-PDF.pdf

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