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

Hospital readmission rates are receiving increasing attention by Medicare, Medicaid, and private health plans.  Research shows that a high proportion of hospital readmissions are preventable.  Most hospital payment methods, most notably the Medicare Part A inpatient prospective payment system (IPPS), create strong financial incentives for hospitals to discharge patients...
The Accountable Care Organization (ACO) model is a new Medicare option for physicians, hospitals, and other providers to share in cost-savings. ACOs represent a dramatic change in Medicare policy and an opportunity to transform care delivery and provider alignment. The Medicare Gain Sharing Program, part of the newly enacted healthcare...
Under the Patient Protection and Affordable Care Act (PPACA) of 2010, Medicare providers, including physician groups and hospitals, will soon have the option to form Accountable Care Organizations (ACOs) to improve quality and efficiency. ACO providers may share financial gains generated from improved clinical and economic performance, provided that quality...

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