BPCI Advanced Policies Modified to Significantly Increase Participation: Program Will Now Have a Six-Month No-Risk Period on Front End

As we are coming down to the wire for the start of the next round of Medicare’s bundling program, known as Bundled Payments for Care Improvement (BPCI) Advanced, the Centers for Medicare & Medicaid Services (CMS) has quietly announced some potentially game-changing program modifications. These changes will likely[…]

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May 1, 2018
New Medicare Payment Model, PDPM, Proposes to Replace RUGs System for SNFs

On April 27, 2018, the Centers for Medicare and Medicaid Services (CMS) announced a proposal to replace the Resource Utilization Groups (RUGs) payment system with a new model for Medicare payment of skilled nursing care. Although it is similar conceptually to last year’s proposed Resident Classification System (RCS),[…]

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CMS Announces New Voluntary Bundled Payment Opportunity: Hospitals and Physician Groups in the Driver’s Seat

After much anticipation, and as promised in the recent cancellation of three new mandatory bundled payment models, the Centers for Medicare & Medicaid Services (CMS) announced on January 8, 2018, the next round of voluntary bundling to be called Bundled Payments for Care Improvement (BPCI) Advanced. The Request[…]

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New Mandatory Bundles Are Canceled: Another Round of Voluntary Bundling Still Pending

In an anticipated move, the Centers for Medicare & Medicaid Services (CMS) formally canceled the three new mandatory bundles (heart attacks, bypass surgery, and hip fracture episodes), originally scheduled for January 1, 2018 implementation. Additionally, CMS made official its intention to make the current mandatory joint replacement bundling[…]

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Episodic Payment- A Window into Value-Based Transformation

On October 17, Brian Ellsworth, Director, Payment Transformation, and Erin Shvetzoff Hennessey, Executive Vice President, Consulting, presented at the American Health Care Association meeting in Las Vegas. The meeting was an important time of education for thousands of health care providers from all across the country. Brian and[…]

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Post-Acute Care Payment Models: Change is in the Air

The apparent demise of yet another attempt to repeal and replace the Affordable Care Act has left many healthcare stakeholders wondering about the future direction of health policy. Over the last few months, the Centers for Medicare & Medicaid Services (CMS) has given some important clues, many of[…]

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November 16, 2011
Is Your Organization Prepared to Accept Risk for Bundled Payments?

The first stage of the Center for Medicare and Medicaid Innovation’s (CMMI) bundled payment initiative is complete. Post-acute providers are now shifting their focus to enacting the care process redesign and conducting the data analysis necessary to design and successfully manage the risk of a bundled episode of[…]

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Cook County Daily Herald Editorial on Winchester House Contract

A recent Cook County Daily Herald editorial, This Private Hiring is Good Public Policy, addresses a recent County Board decision to award Health Dimensions Group a management and staffing contract for Winchester House, a Chicago area skilled nursing and rehabilitation facility. Click here to read the editorial. This[…]

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New White Paper Summarizes Proposed ACO Rules

Building a Post-Acute Network: Care Management and ACOs Download the White Paper In March, the Centers for Medicare and Medicaid Service (CMS) released proposed rules for accountable care organization (ACO) provisions of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation[…]

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March 23, 2011
Publication Focuses on SNF Implications of Health Care Reform

The implications of health care reform are enormously complex. With unending political issues, debates and wavering public opinion, it can be hard to predict how the many facets of our industry will change once market and legislative changes begin to take hold. In the whitepaper, Preparing for Health[…]

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