Hospital Value-based Purchasing
The Centers for Medicare & Medicaid Services (CMS) Aug. 2 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS final rule for fiscal year (FY) 2019. The rule affects inpatient PPS hospitals, critical access hospitals (CAHs), LTCHs and PPS-exempt…
The Centers for Medicare & Medicaid Services July 31 issued final rules for the inpatient rehabilitation facility and the skilled nursing facility prospective payment systems for fiscal year 2019.
It’s been well established that the health care system is moving from a fee-for-service world to one where payers reward value over volume. This requires care coordination and providers across the health care continuum working together to achieve the best outcomes for patients.
The Centers for Medicare & Medicaid Services today approved for Oklahoma the first state Medicaid plan amendment to allow supplemental rebate agreements involving value-based purchasing arrangements with drug makers.
The Comprehensive Primary Care Initiative reduced hospitalizations and emergency department visits and improved primary care delivery for beneficiaries, but did not reduce Medicare spending enough to cover care management fees or significantly improve quality.
The Centers for Medicare & Medicaid Services (CMS) April 24 released its fiscal year (FY) 2019 proposed rule for the hospital inpatient and long-term care hospital (LTCH) prospective payment systems (PPS). A detailed summary of the proposed rule follows in the Regulatory Advisory below.
AHA has created a VBP calculator for hospital leaders to assess the impact of the VBP program on their organizations. The calculator is designed so that you enter your hospital's CMS Certification Number; the calculator will then estimate your net VBP gain or loss.
The FY 2019 Proposed Rule…
A new certificate program from the AHA’s Association for the Healthcare Environment will teach health care leaders who purchase or recommend products and equipment advanced skills for analyzing their value and ownership cost through a two-day instructor-led workshop starting in April.
AHA has created a VBP calculator for hospital leaders to assess the impact of the VBP program on their organizations. The calculator is designed so that you enter your hospital's CMS Certification Number; the calculator will then estimate your net VBP gain or loss.
The FY 2019 and 2020 Final Rule…
The AHA today released a TrendWatch report to help hospital and health system leaders better understand the current landscape of value-based payment models and the capabilities needed to accept various levels of risk. “Hospitals and health systems – influenced by both policy and market forces – are…