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Draft bill proposes counting observation stays for SNF coverage, limiting RAC oversight
Hospital observation stays would count toward establishing Medicare eligibility for post-acute services, under comprehensive reforms in a new draft bill from the House Committee on Ways and Means. The Hospitals Improvements for Payment Act of 2014 proposes a new hospital prospective payment system to be in place by fiscal year 2020. Its goal is to address problems with how short stays are reimbursed.
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Register now for the 2015 ACMA National Conference, featuring Dr. Don Berwick
Registration is now available for the 2015 ACMA National Conference, April 26-29 in Phoenix, Arizona.

This year's conference will feature new events and educational opportunities, including primary care sessions and intensive workshops. We are also excited to announce this year's keynote speaker — Dr. Don Berwick, former Administrator of the Centers for Medicare and Medicaid Services (CMS) and founding CEO of the Institute for Healthcare Improvement (IHI).

For more information and online registration, go to

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Already a Compass user? Update to version 2.0 today and save
To say "thank you," existing Compass users receive special pricing on the 2.0 update through Jan. 31, 2015. Update pricing for existing users begins at $450 per facility (small facility, ACMA member rate) and $600 per facility (standard facility, ACMA member rate). To take advantage of these special "loyalty discounts," login to your Compass account at and click on the yellow "pre-order" bar at the top of the screen.

For more information and pricing, visit, or contact Aaron Van Son at 501-907-2262 or to schedule a demonstration.

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Medical adviser shares secrets of ACO success
Advance Payment Model accountable care organizations have improved care quality and generated significant savings by analyzing high-risk patients, according to Becker's Hospital Review. ACOs operating under the Advanced Payment model are usually physician-led organizations formed in smaller, rural areas. The Centers for Medicare & Medicaid Services provides them with both flat and variable funds with the goal of driving up participation, improving care and creating savings.
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  Join Excellence and Innovation

• Are you a Case Manager looking for opportunities to develop your career?
• Are you a Case management leader committed to helping change the future of healthcare?
You belong here!

Begin the journey of a lifetime with a Pioneer ACO who is participating in the Bundled Payments initiative.

For your holiday star: A gift for the person who has everything
Are you having difficulty coming up with gift ideas for that person who has everything? Recognize those who mean the most to you — your "holiday stars" — by honoring them with a donation to ACMA in their name. Clients, colleagues, family, friends, directors, staff, physician advisors, departments, chapters, hospitals/healthcare delivery systems, mentors and more — honor them all as your stars this holiday season.

By making a donation to ACMA and recognizing your holiday star(s), their name will be listed: in ACMA's Collaborative Case Management journal, in ACMA's briefCASE e-newsletter and on the ACMA website. All proceeds support ACMA's fundraising efforts, and as ACMA is a 501(c)3 non-profit organization, your donation is tax deductible.

Donate today and recognize your holiday star — click here.

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Improve your department's efficiency with Compare
ACMA's Compare provides powerful tools and benchmarking to facilitate change related to avoidable delays, readmissions and denials.

If you would like to know more about Compare and evaluate it for your organization, please contact James Nickerson at

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  Wheelchair Ramps, Lifts and More!
Amramp, North America’s Leading Wheelchair Ramp, helps your clients with activities of daily living and provides safe patient handling in the home environment:

• Amramp Modular Wheelchair Ramps – RENT or Buy – Installed in Days
• Stair Lifts • Platform Lifts
• Patient Lifts
• Portable Showers
• Pool Lifts
• Other Unique Assistive Devices
Call 888-715-7598 to schedule a FREE estimate

Your Expert in Care Transitions
Working with VITAS Healthcare, case managers help their most fragile patients make care transitions from hospital to home, from curative to palliative, from chronic to end-stage.

Don’t confuse case management with UR. In tomorrow’s marketplace, managing progression- of-care will take center stage. Are you ready?


Hospital groups urge Congress to avoid any further ICD-10 delays
In a letter today to congressional leaders, the AHA and six other organizations representing hospitals voiced their strong support for the Oct. 1, 2015 transition to the ICD-10 coding system and urged Congress to avoid any further delays in the implementation date. "Recent ICD-10 implementation delays have been disruptive and costly for hospitals and health systems, as well as to health care delivery innovation, payment reform, public health, and health care payment," the organizations wrote. "...ICD-9 is outdated and ICD-10 is needed to keep up with advances in medicine and ensure accurate payment." After several delays, most recently to comply with a provision in the Protecting Access to Medicare Act of 2014, the Department of Health and Human Services in July issued a final rule requiring health care providers and other entities covered by the Health Insurance Portability and Accountability Act to begin using ICD-10 diagnosis and procedure codes on Medicare and other health care claims on Oct. 1, 2015.
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  Decrease LOS and avoidable days
Transform your discharge process with the secure, easy-to-install software service from ABILITY Network:
1. Confirm insurance and benefits with a single click
2. Get faster, on-time discharges
3. Manage referrals and documentation from a single dashboard – no more sorting through faxes, phone calls and emails

CDC issues pandemic flu planning exercise
The Centers for Disease Control and Prevention today released a tabletop exercise to help communities and health care stakeholders test their ability to manage a surge in patients during a flu pandemic. The “Pan Flu Scramble” aims to help communities address Hospital Preparedness Program and Public Health Emergency Preparedness and response capabilities, and identify potential gaps in resources and services associated with surge management. For more information, contact CDC at
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House committee examines healthcare fiscal priorities
AHA News Now
The House Energy and Commerce Committee's Subcommittee on Health held a hearing on healthcare fiscal priorities. Witnesses included Mark Miller, executive director of the Medicare Payment Advisory Commission, who was asked about MedPAC's recommendations for redesigning Medicare benefits and for site-neutral payment for certain hospital and physician office services.
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Advertise here!

To find out how to feature your company in the ACMA briefCASE and other advertising opportunities, Contact Geoffrey Forneret at 469-420-2618.

Lessons for hospitals transitioning to population health management
Creating organizations capable of population health management and value-based contracting is complex and challenging. Just how challenging is evident in early results from Medicare's accountable care organization programs. In their first year, fewer than one in four Medicare Shared Savings Program ACOs earned bonuses, according to the Centers for Medicare & Medicaid Services.
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With ACA, telemedicine in 'perfect storm' for coverage
As more Americans gain medical coverage and more health insurers reimburse for telemedicine consultations, companies like MDLive are prepared to take off. In an interview at the 2014 Forbes Healthcare Summit, MDLive chief executive Randy Parker talked about how his company is poised to take advantage of new payments as well as growing consumer interest for remote access to medical care services.
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Date Event Location More Info
Dec. 13 Greater Houston Chapter conference Houston, Texas Details
March 11, 2015 Ohio Chapter Conference Columbus, Ohio Details
April 26-29, 2015 ACMA 2015 National Conference Phoenix, Arizona Details

  For the full ACMA event map, click here.



Tyler Neese, ACMA Director of Communications and Public Policy, 501.907.2262
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Colby Horton, Vice President of Publishing, 469.420.2601

Ryan Clark, Content Editor, 202.684.7160  
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