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Hospital Acquired Conditions Reimbursement Reduction

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How would your organization prepare for the upcoming HAC which would decrease provider's reimbursement starting 2015?

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https://brainmass.com/health-sciences/health-insurance/hospital-acquired-conditions-reimbursement-reduction-575883

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Hospital Acquired Conditions Reimbursement Reduction

Patricia W. Stone, PhD, FAAN has identified three possible outcomes one might see in a healthcare organization with the advent of reimbursement changes that go into effect in FY2015. Hospitals might choose to react as CMS hopes and find ways to improve processes and decrease health care-associated infections. A second possible outcome, there is no ...

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Possible hospital strategies in response to decreased reimbursement rates for hospital acquired conditions.

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Pay-For-Performance

Reimbursement and Pay-for-Performance

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Define pay-for-performance. (Pay for results of service provided)
• Explain how reimbursement is affected by the pay-for- performance approach.
• Discuss how system cost reductions impact the quality and efficiency of health care.
• Discuss how pay-for-performance affects health care providers and their customers.
• Discuss the effects pay-for-performance will have on the future of health care

Pay for performance in healthcare gives financial incentives to clinicians for better health outcomes. Clinical outcomes, such as longer survival, are too difficult to measure, so pay for performance systems usually measure process outcomes, such as measuring blood pressure, lowering blood pressure, or counseling patients to stop smoking.

o Shi, L. & Singh, D. (2012). Delivering health care in America: A system approach. (5th. ed.). Boston, MA: Jones & Bartlett.

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