Ask the payment expert … about quality of care and reimbursements
By
Patricia Boyer
May 01, 2014
Many states are at the forefront of pay for performance initiatives. These tie payment incentives to quality measurements and outcomes. These programs are encouraged by the Centers for Medicare & Medicaid...
Administrators pan pay-for-performance
By
John O'Connor
Jun 01, 2014
Most nursing home administrators do not believe that pay-for-performance initiatives lead to improved resident care or stronger bottom lines, according to findings recently published in the Journal of...
3 value-based purchasing strategies to help you get ahead
By
Sally Rodriguez
May 21, 2014
Long-term care providers have a stronger hook than they probably realize regarding the toughening of penalties for hospitals with high readmission rates.
Pay for performance, medical necessity and Jimmo
By
Shelly Mesure, MS, OTR/L
Jun 04, 2014
Why would anyone mention value-based reimbursement, medical necessity and the Jimmo lawsuit in the same sentence? I feel they are all related, but it will be difficult to find the perfect balancing act...
Hospital readmission incentives on hold, and ‘no one wins but Medicare’
By
Kimberly Marselas
Aug 02, 2022
Skilled nursing operators will forgo bonuses for a second straight year for limiting hospital readmissions, a regulatory pause one compliance expert says will lead to losses all around.
Readmission prevention: The role of post-acute providers
By
Eleanor Feldman Barbera, Ph.D.
Oct 24, 2017
Long-term care providers have an opportunity to thrive with value-based care, escape cynicism and join the growing wave successful at avoiding readmissions.
Medicare reform proposal needs fixes for long-term care physicians, AMDA says
By
Tim Mullaney
Nov 15, 2013
Prospective Medicare changes regarding physician payments might unfairly penalize doctors working in long-term care settings, according to a prominent medical directors association.
Congress should increase funding for non-institutional care, link payment and performance, Medicaid directors...
By
Tim Mullaney
Aug 30, 2013
The U.S. system for providing long-term care should be changed to reduce the number of people living in facilities and better align spending with health outcomes, according to comments that state Medicaid...
Sometimes a carrot is really a stick … but sometimes it’s 24-karat gold!
By
Steven Littlehale
Nov 27, 2017
We all yearn for a time when value-based purchasing (and care) loses its originality. A time when motivations for providing excellent care and achieving excellent resident outcomes are aligned with reimbursement.
MedPAC eyes replacing SNF VBP with new model that reimburses more evenly
By
Danielle Brown
Mar 11, 2021
The current value-based purchasing program for skilled nursing facilities would be replaced by an alternative incentive model that rewards providers more evenly under a proposal by the Medicare Payment...