Hospital Acquired Conditions Reimbursement Reduction

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• Center for Medicare and Medicaid Services: Reimbursement

  The Centers for Medicare and Medicaid Services announced that its final inpatient prospective rule, adding hospital-acquired conditions that will not be reimbursed and provide additional incentives for hospitals to improve care quality.

• Effective Hospital Techniques against (Hospital Acquired Conditions)

  576697 Effective Hospital Techniques against (Hospital Acquired Conditions) Beginning in 2015, CMS (Center of Medicare and Medicaid Services) will introduce another quality program which will reduce hospital payments due to HAC (Hospital Acquired Condition

• Medicare's "Never Event" Policy Issues on Pressures Ulcers

  for hospital-acquired pressure ulcers and other conditions?

• Health care inquiry

  Risk pools are usually categorized by types of medical services DRG'sl reimbursement contains no element of risk sharing by the hospital. Community acquired pneumonia is an area of clinical focus for hsopital P4P programs.

• Vertical Integration: Healthcare

  Private insurers and Medicare are aggressively pushing value-based reimbursement under ACO contracts, and the one competing hospital has already acquired a large physicians' practice. Analyze the provided scenario.

• Medicare reimbursement to health care providers

  Variation in payments schedules are also based on such factors as whether the hospital is a teaching hospital or whether the hospital treats a high level of low income patients (DHHS).

• Accountable Care Organizations..

  The ACO seeks to improve care coordination for its patients with chronic conditions.

• Healthcare Organization: Horizontal Integration

  This HCO has created real integrated delivery system. it has not only acquired and combined prestigious hospitals but has also achieved higher reimbursement rates. Another exemplar is the University of Pittsburgh Medical Center.

• The Importance of Correctly Timing the Implementation of Strategies

  It would be best for healthcare organizations to evaluate if the strategy they put in place or plan to, to ensure that strategy will be effective in controlling hospital acquired conditions, before the plan is implemented if possible.