CMW News: CMS announces demonstration sites for bundled fee-for-service payments
Case Management Weekly, January 14, 2009
Want to receive articles like this one in your inbox? Subscribe to Case Management Weekly!
In an effort to better align the incentives for both hospitals and physicians, CMS has established a three-year demonstration called the Acute Care Episode (ACE). The ACE will test the use of combined payments for both hospital and physician services for acute care episodes within Medicare fee-for-service.
Under the current process, Medicare pays a hospital a single amount determined under the Inpatient Prospective Payment System for all the services it furnishes to the patient during an inpatient stay, and physicians are paid separately for the services they have provided to the patient while in the hospital. The demonstration, scheduled to begin early this year, will bundle both payments into one.
The sites chosen for the demonstration are:
- Oklahoma Heart Hospital in Oklahoma City
- Exempla Saint Joseph Hospital in Denver
- Hillcrest Medical Center in Tulsa, OK
- Lovelace Health System in Albuquerque, NM
The goals of ACE are to:
- Improve quality for fee-for-service Medicare beneficiaries
- Produce savings for providers, beneficiaries, and Medicare using market-based mechanisms
- Improve price and quality transparency for improved decision making
- Increase collaboration among providers
Source: Centers for Medicare & Medicaid Services
Want to receive articles like this one in your inbox? Subscribe to Case Management Weekly!
Comments
0 comments on “CMW News: CMS announces demonstration sites for bundled fee-for-service payments ”
Related Products
Most Popular
- Articles
-
- HIPAA Q&A: Flu shot requirement for hospital employees
- HealthDataInsights posts new issues for medical necessity claims
- Running an effective peer review committee meeting
- Q&A: Incidental disclosures and patient privacy
- New FAQ posted on storing laryngoscope blades
- Sneak Peek: Effort underway to establish caseload benchmarks
- Tip: Perform your own internal investigation prior to government audit
- What does case-mix index mean to you?
- HIPAA 5010 deadline extended, but threat remains, says AMA
- HHS task force: Consider privacy, security with text messages
- E-mailed
-
- Running an effective peer review committee meeting
- HIPAA Q&A: Flu shot requirement for hospital employees
- What does case-mix index mean to you?
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HHS task force: Consider privacy, security with text messages
- Tip: Correctly code bilateral pain management procedures
- 2012 CPT code changes for ASCs: Shoulder and knee scopes and pain management
- COT basics to best
- Documentation and coding for toxic metabolic encephalopathy
- Guidance and tact key to compliant, effective physician queries
- Searched