May 25, 2017

ACO roundup: CMS extends deadline for home care rule

Daily Briefing
  • How a Parkland program cut readmissions by 47 percent and saved $40M. After launching a program that enables patients to self-administer antibiotics, Parkland Health & Hospitals cut readmissions for participating patients by almost 50 percent, saved $40 million in unreimbursed costs—and spotlighted a new way to meet the triple aim of health care. Under the program, eligible patients are taught how to self-administer antibiotics and are monitored by a team of case managers, pharmacists, transitional care nurses, and social workers. The system assessed the program between 2009 and 2013 and found that participants had 47 percent lower 30-day readmission rates  than patients who had nurse assistance and that the program saved the system about $7.5 million in unreimbursed costs per year—a total of $40 million over eight years.

  • CMS extends deadline for home care rule. CMS earlier this month delayed by three years the transition period for states to comply with new federal standards for what qualifies as home and community-based settings under Medicaid. The rules aim to encourage states to allocate Medicaid funding to older beneficiaries and those with mental or physical disabilities without requiring that they go into nursing homes. CMS said it delayed the compliance date—from March 17, 2019 to March 17, 2022—"in light of the difficult and complex nature of this task."

  • Gaps in MIPS measures could worsen health disparities, study finds. Gaps in the Merit-based Incentive Payment System (MIPS) under MACRA might exacerbate quality disparities between certain aspects of care, including patient access, interpersonal care, and patient experience, according to a new study published in the Annals of Family Medicine. For the study, the researchers assessed 143 MIPS measures to examine whether domains of primary care were adequately represented. According to the study, five of 12 domains did not have any applicable measures, and just 10 percent of measures fell into another five primary care domains.

From Advisory Board:

  • Why the physician network needs to be redefined—and how to do it. In recent years, physician networks have focused primarily on growing market share, improving quality, and preparing for population health. Today's networks, however, must simultaneously accomplish several different goals—and manage inherent tensions along the way. Join us on June 26 to learn how to effectively segment physicians across the network and instill a clear sense of individual purpose to help physicians in the network better advance system strategy.

Register Here

Register Here

  • How to assemble a high-performing PAC partner network. This webconference will provide guidance for developing a more systematic post-acute care network strategy. Join us on June 14 to learn the seven strategic steps health systems should take when assembling high-performing PAC networks.

Register Here

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