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Changes Coming For Medicare Hospital-Acquired Condition Reduction Program

In response to the concerns of hospitals, Medicare is planning changes in its hospital-acquired condition reduction program.
The program, a product of the Affordable Care Act, penalizes hospitals that perform poorest on measures designed to identify medical problems their patients incur while hospitalized. Hospital performance is judged based on criteria developed by the Centers for Medicare & Medicaid Services (CMS).
In the face of criticisms about the program’s design, overlapping measures, and more, CMS now plans to share more information with hospitals about how it scores their performance and also will update some of the measures upon which those scores are based.
health affairsA recent article in the journal Health Affairs describes the hospital-acquired condition reduction program, the challenges it has faced, and CMS’s plans for it moving forward. Find that article here.

2015-08-12T06:00:11+00:00August 12th, 2015|Medicare|Comments Off on Changes Coming For Medicare Hospital-Acquired Condition Reduction Program

Is Medicare “Pay for Performance” Doing the Job?

Three Medicare initiatives – its hospital readmissions reduction program, value-based purchasing program, and hospital-acquired condition program – were designed to improve the quality of care provided to beneficiaries while eventually reducing the cost of that care.
health affairsBut are they living up to their billing? That is the question considered in the Health Affairs article “Assessing Medicare’s Hospital Pay-For-Performance Programs and Whether They Are Achieving Their Goals.” Find the article here.

2015-08-10T06:00:27+00:00August 10th, 2015|Medicare|Comments Off on Is Medicare “Pay for Performance” Doing the Job?
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