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Impact of star ratings on provider demand

Healthcare ECONOMIST

For years, Medicare and other payers have used quality measures to evaluate the quality of care patients receive at various types of providers settings (e.g., For some payers, higher quality scores/higher star ratings lead to direct increases in reimbursement through a value-based purchasing arrangement.

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P3Care Investigates: QPP MIPS 2021 Proposed Rules

p3care

CMS (The Centers for Medicare and Medicaid Services) released the proposed rule for QPP MIPS 2021 via the Medicare Physician Fee Schedule (PFS) Notice of Proposed Rulemaking (NPRM). How MIPS consultants take care of the administrative data to report to the authorities affects revenue cycles. Quality Category: Weighs 50%.

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Posting of Nursing Home Ownership/Operatorship Affiliation Data on Nursing Home Care Compare Website and data.cms.gov

Briggs Healthcare

Ownership data comes from the Provider Enrollment, Chain, and Ownership System (PECOS), the electronic Medicare enrollment system and national data repository for individual and organizational providers who have enrolled or are enrolling in Medicare.

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Seven Steps for Building a Community-Based Palliative Care Benefit Within Medicaid

NASHP

Successful home-based palliative care programs cite an engagement rate of 35%. For length-of-stay estimates, consider using the CMMI Medicare Choices Model of community-based pre-hospice services, with an average length of stay of 99 days.

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AHRQ’s research agenda for tackling patients with multiple chronic conditions

Healthcare ECONOMIST

One in three American adults, four in five Medicare beneficiaries, and a growing number of children have MCC. In the Bierman article, they aim to do this by answering the following questions as part of their research agenda: How can care become more patient centered for patients with MCC?