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FAQ on ACOs: Accountable Care Organizations, Explained
AAOE
Published in April 2014, KHN news reports that forming networks of providers is the core approach for an ACO to succeed. This is a good article that discusses who can be in charge of the ACO and how the program actually produces savings for those already involved in the process. This is an overview article, providing details that will help a practice understand the basics.
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The Key to Transitioning from Fee-for-Service to Value-Based Reimbursement
AAOE
This is an extremely thorough article discussing the various methods, approaches and time phasing for payments models that could be experienced by practices. Deborah Walker Keegan is quoted throughout this article, and is full of insights and helpful direction.
Moving Toward Bundled Payments
AAOE
This article is an 8-page brief from the American Hospital Association that introduces Medicare's bundled models, discusses how to create and map episodes of care, pinpoint variation in process, assess level and types of risk, and develop a price for the bundle.
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Alternative Payment Methodologies Report
AAOE
While this report was produced by Oregon's state government, it takes a broad look at programs implemented throughout the nation — including in California, Massachusetts, Maine and Arkansas. It not only covers different alternatives such as Bundled Payments, Share Savings, Pay-for-Performance and Patient Centered Medical Home Payments; but it also covers different variations within each of these payments categories.
Guide to Value-Based Reimbursement: Profiting from Payment Bundling, PHO Shared Savings, and Pay for Performance
AAOE
This book, available on Amazon.com for $59, provides data on a variety of payment methodologies in use today. Click here to purchase the book.
Orthopedics and Spine: Innovative Strategies for Service Line Success
AAOE
This resource, available on Amazon.com for $122.55, for orthopedic and spine service line development shows how it impacts the future and challenges it presents. The challenges include different payment strategies. Chapter 3 discusses payment reform by focusing on increasing the value for the patient. Click here to purchase the book.
August Recess and Action Alert
AAOE
Does your practice provide custom fitted durable medical equipment (DME)? On July 11, 2014, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule that would attempt to change who has the "specialized training" needed to provide custom fitted orthotics. Under the proposed rule, only certified orthotists, physicians, treating practitioners, occupational therapists, and physical therapists are eligible to provide custom fitted DME for Medicare reimbursement. Anything fitted by medical assistants, fitters, Certified Athletic Trainers, and manufacturer representatives will be reimbursed as off-the-shelf (OTS).
| Date |
Time (EST) |
Event |
More Information |
| Aug. 14 |
12 - 1:30 p.m. |
AAOE Webinar: Business Intelligence [P2P] |
Details |
| Aug. 28 |
12 - 1 p.m. |
AAOE Webinar: Release of Information Risk Mitigation Through the Use of Quality Control Processes and Measurements |
Details |
| Sept. 11 |
12 - 1:30 p.m. |
AAOE Webinar: The Benchmarking Survey |
Details |
| Sept. 12-14 |
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BONES Society of Florida Annual Meeting |
Details |
| Oct. 2-4 |
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2014 Midwest AAOE Fall Meeting |
Details |
| Oct. 3-4 |
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AAOS: Orthopaedic Surgical Safety: How to Build Safe Surgical Teams and Improve Patient Outcomes |
Details |
| Oct. 8-10 |
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19th Annual Bones of PA Meeting |
Details |
| Oct. 23 |
12 - 1 p.m. |
AAOE Webinar: The Role of Marketing and Public Relations in Medicine |
Details |
| Sept. 24-26 2015 |
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2015 BONES Society of Florida Annual Meeting |
Details |
[P2P]: AAOE Peer-to-Peer Audio Conference
[HTW]: Hot Topic Webinar
Blue Belt Technologies, Inc.
"Partial knee replacements “are unforgiving of even a very subtle amount of misalignment or imbalance,” says Jess Lonner, MD, one of the first surgeons to use the Navio system from Blue Belt Technologies to perform a partial knee replacement. “This device reduces variability, enhances the precision with which we can prepare the bone and dramatically improves the ability to balance soft tissues.”
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WITHIN YOUR PRACTICE WALLS
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Expert panel recommends sweeping changes to doctor training system
Kaiser Health News
An expert panel recommended completely overhauling the way government pays for the training of doctors, saying the current $15 billion system is failing to produce the medical workforce the nation needs. "We recognize we are recommending substantial change," said health economist and former Medicare Administrator Gail Wilensky, co-chairwoman of the nonpartisan Institute of Medicine panel that produced the report. "We think it's key to justifying the continued use of public funds."
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Panel approves bill letting people keep old health insurance plans
The Hill
The House Energy and Commerce Committee approved a bill that would let people on group health insurance plans keep policies that don't conform to ObamaCare's standards.
The legislation, approved almost down a party-line 27-20 vote, is meant to respond to those who said their health plans were cancelled because of the new healthcare law, which required plans to meet minimum coverage standards.
4 misconceptions about ICD-10
FierceHealthIT
With ICD-10 delayed again, providers likely have an extra year to prepare for its implementation. However, myths still surround the transition.
In a recent article in the Journal of the American Health Information Management Association, Sue Bowman, senior director of coding policy and compliance at AHIMA, addresses four misconceptions surrounding the looming coding change.
Understanding script testing in the EHR adoption process
EHRIntelligence.com
In many quarters it is a toss-up as to which is a duller activity, conducting script testing or reading about it. Script testing is not exciting, sexy, or like watching attractive actors walk in slow motion towards you as the background explodes into a wall of fire.
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3 privacy and security challenges in meaningful use Stage 2
Government Health IT
Since the inception of meaningful use within the HITECH Act through April 2014, approximately 80 percent of all eligible hospitals received an incentive payment for demonstrating Meaningful Use requirements through the use of an EHR.
The program isn't without challenges, however. Meeting MU Stage 2 standards has proven difficult due to the number of processes, departments and IT systems impacted. While still an achievable goal, MU attestation is now a far more difficult one.
Report: Cost of HealthCare.Gov approaching $1 billion
Time
Federal officials badly managed the development of a website to sell health insurance under the Affordable Care Act, potentially costing taxpayers hundreds of millions of dollars in cost overruns, according to testimony that will be delivered to a House subcommittee.
71 percent of hospitals plan CDI partnerships to tackle ICD-10
EHRIntelligence.com
The majority of hospitals won't be staring down the challenges of ICD-10 clinical documentation improvement on their own, Black Book Rankings says, but will seek consultants and service partners to help them make the necessary adjustments ahead of the new code set. By Oct. 1, 2015, 71 percent of hospitals plan to have engaged a CDI partner, and nearly 25 percent have done so already.
10 worst states for healthcare
Fox News
For a nation that spends more than two times as much as other industrialized countries — totaling almost $3 trillion a year — on healthcare costs, it would stand to reason that Americans should be the picture of health. But in reality, we have shorter life spans, higher infant death rates and more cases of chronic illness than other wealthy countries, according to a new report from WalletHub.
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