Articles Tagged With: value-based
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Value-Based Safe Harbor, Stark Exception Increasingly Important
The value-based arrangement Anti-Kickback Statute safe harbor and Stark Law exception introduced last year are likely to become important components of healthcare provider methods. CMS and other third-party payors will continue to focus on promoting care coordination and patient outcomes, making the safe harbor and Stark exception critical tools to avoid legal complications.
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CMS May Suppress Data on Complications in Hospitals
CMS is planning to suppress data on many dangerous medical and surgical complications in hospitals because data from the COVID-19 era may be unreliable. The plan would suppress data on sepsis, kidney harm, deep bedsores, lung collapse, and many other measures. -
Value-based Payments and Primary Care
Over the past two decades, Medicare and commercial payers have increasing linked healthcare payments to quality. These new payment models are broadly referred to as value-based, as payers primarily focus on clinical and financial outcomes of patients rather than simply paying for services in an unsustainable fee-for-service model. This shift provides a unique opportunity for primary care to recapture its place in healthcare delivery as the original advocate for patient-centered care and the center of value. Primary care clinicians can be rewarded with additional revenue for creating efficient care delivery by developing the skill sets to manage value-based care.
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Study shows a data route tying quality to VBP
Value-based purchasing has added more weight to the role of quality managers in collecting data related to 30-day readmission rates. These readmission rates now affect a health system’s Medicare reimbursement, and the key is to look at data in a way that will highlight areas where improvements can have a positive effect on them.