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Under Two-Sided Risk Models, Quality Of Care Increases Compared To FFS Medicare

Home Health Care

Data examinations are beginning to shed greater insight on just how much better value-based payment models are for quality of care. When comparing two-sided risk models in Medicare Advantage (MA) versus fee-for-service Medicare programs, the former performed better in all eight quality-of-care metrics.

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Care coordination: What's needed to succeed with accountable care and home health?

Healthcare It News

Care coordination is becoming increasingly important in U.S. healthcare for a variety of reasons, including the increased use of value-based care models, the behavioral care shortage and a boom in home healthcare. Care coordination challenges exist not just in the transition from hospital to home but also in the reverse.

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Are hospital quality metrics causal?

Healthcare ECONOMIST

2023 found that Johns Hopkins Hospital had to report 162 unique quality metrics, and the cost for collecting these data were over $5.6m actual quality differences are as large as quality indicators suggest) Chandra et al. 2023) aim to test whether hospital quality metrics meet these two criteria. plus $0.6m

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Why Hospitals with Nearby Home Health Agencies Have Higher Readmission Rates

Home Health Care

A new study from researchers at Vanderbilt University Medical Center found that hospitals with a greater local supply of home health agencies were associated with increased readmissions. Hospital readmissions are regularly viewed as an indicator of the quality of care patients receive.

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Ohio State & CVS Form ACO to Elevate Medicare Care in Central Ohio

HIT Consultant

What You Should Know: The Ohio State University Wexner Medical Center a nd CVS Accountable Care, part of CVS Health® (NYSE: CVS), today announced the creation of an accountable care organization (ACO) to improve the quality of care for Medicare beneficiaries by Ohio State providers in central Ohio.

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CMMI’s Proposed TEAM Model Offers Another Risk-Based Opportunity For Home Health Providers

Home Health Care

Last week, the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced a new proposed model that will undoubtedly affect home health providers, and also allow them the opportunity to get more involved in value-based care initiatives. Home health tends to be a lower cost post-discharge setting for Medicare patients.

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TRG Settles for $3.1M Over Alleged Improper Billing Practices

HIT Consultant

Key Allegations The lawsuit alleged that TRG engaged in improper billing practices related to radiology services provided to hospitals and other healthcare providers across the country. The allegations against TRG raise concerns about the quality of care patients may have received and the potential misuse of federal healthcare funds.