Several new acute care reimbursement models have been introduced by CMS in an effort to shift from ‘fee for service’ to ‘value-based’ healthcare reimbursement. Starting October 1st, a new payment rule will alter post-acute-care Medicare reimbursement. Under the Patient Driven Payment Model (PDPM) specific resident characteristics, such as diagnoses and the patient’s functional level, will be used to determine payment to skilled nursing facilities. Similar to alternative payment models on the acute-care side, PDPM is shifting away from paying for services performed (ie: therapy minutes) to payment according to patient characteristics and conditions. In these new models, collaboration across care environments is becoming more and more critical for both improving patient outcomes and optimizing financial performance.
In the News:
Accountable Care Organizations have formed in response to CMS’s effort to improve the value of healthcare, but there is still confusion about what ACOs are, how they are paid, and the benefits. This month McKnight’s Long-term Care News, published an article authored by Olio entitled:
How ACOs should work
The next feature is…
The roadmap is full of exciting new features and functionality, many of which have been suggested by customers. Traditionally, we use this section to highlight a feature of Olio. This month we want to listen.
What are your care collaboration challenges?
What functionality would make your life easier?