Noteworthy News

Archive for April, 2015


DSRIP Presentation

More states are looking to Delivery System Reform Incentive Payment programs – DSRIP – to generate the resources they need to improve their Medicaid delivery and payment systems. A number of states, including New York, Texas, California, Illinois, and New Jersey, have already implemented DSRIP programs and others are planning or at least contemplating similar undertakings. New York’s Medicaid director has posted on YouTube a presentation addressing one aspect of his state’s DSRIP program: value-based payments. The five-minute talk breaks Medicaid value-based payments into five themes: value over volume, stronger together than apart, reduce avoidable complications and hospital use, reinvesting [&hellip

Mixed Results for Doc Quality Reporting Program

Nearly a half-million providers will see their Medicare payments docked this year because they failed to submit to Medicare data required by its Physician Quality Reporting System in 2013. On the other hand, nearly 650,000 will receive a 0.5 percent raise because they did comply. Lack of compliance may not be the issue it seems on the surface: of those who failed to submit the required quality data and face penalties of up to 1.5 percent of Medicare payments, 70 percent see fewer than 100 Medicare patients a year. Medicare’s Physician Quality Reporting System was introduced in 2007.   In 2013, [&hellip

Hospitals: “How’re We Doing?”

More hospitals are looking for feedback on their performance from the people who know best: their patients. While some just continue to ask and pursue such information informally, others are going so far as to create formal patient advisory councils to offer insight on the hospital experience from the perspective of the hospital bed. Currently, more than 40 percent of hospitals have such councils. One of the driving forces behind this surge in interest in patient satisfaction, according to USA Today, is …is the health law’s quality-improvement provisions and other federal financial incentives, such as the link between Medicare payments [&hellip

Inpatient Rehab Facilities to Get Rate Increase

Medicare would increase inpatient rehabilitation facility rates 1.7 percent for FY 2016 under a new regulation it proposed last week. To receive the full increase, facilities would have to submit quality data on a number of factors, including patients with pressure ulcers, incidence of falls, performance of functional status assessments, and others. Facilities that fail to report the requested data would receive no increase and instead would see their payments reduced. For a closer look at how Medicare proposes paying inpatient rehabilitation facilities in FY 2016, see this fact sheet and the regulation itself

What is “Population Health”?

Among the three goals of health care reform is “improving population health.” But what is “population health”? Members of the faculty of the online Executive Master of Health Administration program at George Washington University decided to ask hospital CEOs that very question. The results of their survey will be published later this month but Fierce Healthcare offers a preview. Find that preview here

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