Kip Piper's Health Care Blog
Medicare, Medicaid, Health Reform

Health care quality and patient safety have become increasingly important in recent years, particularly as part of efforts to prevent wasteful spending, hospital readmissions, and medical errors. Accountable Care Organizations (ACO), health information technology (HIT), electronic health records (EHR), and new health plan reporting requirements are among the many...
To help determine the value of health care provided by qualified health plans (QHPs) that will contract with Health Insurance Exchanges, the Centers for Medicare and Medicaid Services (CMS) is seeking information on best practices in health plan quality management and reporting. Through a Request for Information (RFI), CMS seeks information...
Leading-edge state Medicaid agencies across the country are exploring the potential of accountable care organizations (ACOs) to drive improvements in quality, delivery, and cost-effectiveness for Medicaid beneficiaries. Seven states in particular – Maine, Massachusetts, Minnesota, New Jersey, Oregon, Texas, and Vermont – are creating ACO models for Medicaid. The Center...
Opaque prices – the norm in U.S. health care – in a key driver of inefficient, ineffective medical care and rapid cost increases.  Transparency of health care prices - public reporting of prices - is an essential ingredient for a high-value, cost effective health care system. In recent years, rising...
Medicare Advantage plans provide many benefits to Medicare beneficiaries, including lower costs, added services, higher quality than traditional fee-for-service (FFS), and less paperwork.  However, the way Medicare paid Medicare Advantage health plans led to a situation where Medicare was paying health plans more than the average cost of Medicare FFS...
One objective of the 2009 Health Information for Economic and Clinical Health (HITECH) Act is to encourage more physicians and hospitals to adopt electronic health record (EHR) systems. Physicians and hospitals that effectively use electronic health records will play an important role in preventing medical errors, reducing costs, and...
Medicare is slowly but steadily moving toward value-based methods of reimbursing physicians, hospitals, and other health care providers differentially based on quality and cost of care.  The evolving payment methods add performance or value-based modifiers to traditional Medicare fee-for-service reimbursement.  For physicians, new value-based payment modifiers will adjust each provider's payment rates under the Medicare Part B fee...
Care management for Medicare beneficiaries at high risk of hospitalization can significantly reduce hospital admissions without increasing costs, according to two studies in Health Affairs and sponsored by the Robert Wood Johnson Foundation. The studies found decreases in Medicare inpatient admissions of 17 percent and 8 to 33 percent, respectively. Care management...
Hospitals ought to invest in processes that keep discharged patients from returning, and should do so for two main reasons, a new report argues: (1) readmissions are costly and are increasingly a concern for Medicare, Medicaid, and private payers, and (2) steps to reduce readmissions will prepare hospitals for...

Stay Connected

4,834FansLike
6,955FollowersFollow
17,150FollowersFollow

WEATHER

Latest Articles