Why CJR Should Be Keeping Hospital CEOs Up at Night

Posted by Wayne Sensor on 4/26/16 9:00 AM

Published by Becker's Hospital Review

The Comprehensive Care for Joint Replacement (CJR) rule and the idea of bundled payment reimbursement is a wake-up call if there ever was one. It's Health & Human Services saying in this election year that value-based healthcare is here to stay. To hospitals, it's a paradigm shift of massive proportions because it's turning departments that were once revenue streams into cost centers. In the new world order of bundled payments, no longer is the government going to reimburse for every scan or additional procedure ordered. The government is going to pay a fixed amount for the care of a patient over a period of time. CJR is just the first step of what will become the bundled payment norm.

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Topics: Healthcare Reform, Value-based payment models

Predictions for Health Care in 2016 and Beyond

Posted by Kyle Salem, Ph.D. on 1/26/16 1:21 PM

 crystal_ball.jpgWriting a set of health care predictions for the coming year isn’t an easy task. The industry changes so fast, and then in many ways, so slowly. To make predictions for 2016, I really had to come back to the global ideas that are shaping health care as we know it. So let me start there. I think there are four key trends in the health-care industry that we should continually keep our eye on. They are:

  • Consolidation
  • Consumerism
  • Access
  • The Shift to Value

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Topics: Healthcare Reform, Value-based payment models

Revisions to CMS Rule for Discharge Planning Proposed

Posted by Luis Castillo on 11/10/15 12:33 PM

Last week, The Centers for Medicare and Medicaid Services (CMS) issued a proposed revision to the rule surrounding the discharge process for hospitals, rehab facilities and home health agencies.

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Topics: Medicare Readmission Penalties, Value-based payment models