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A Medicare Shared Savings Program Success Story




Health Leaders Media


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  November 4, 2015 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

A Medicare Shared Savings Program Success Story

Rene Letourneau, Senior Editor for HealthLeaders Media

About a quarter of the ACOs in the MSSP program earned a total of $ 341 million in payouts. Among them is Delaware Valley Accountable Care Organization, whose CEO shares tips for success. >>>

 

Editor’s Picks

Two-Midnight Rule Changes Cemented by 2016 OPPS Final Rule

Under the final OPPS rule, if the expected duration of care will span less than two midnights, inpatient admission may be allowed on a case-by-case basis determined by the judgment of the admitting physician. >>>

M&A Roundup: Ascension to Acquire Wheaton Franciscan Health, Walgreens Buying Rite Aid

The Wheaton acquisition strengthens Ascension’s market share in Wisconsin. Meanwhile, federal antitrust scrutiny of the Walgreens-Rite Aid combination is likely to come down to a city-by-city review. >>>

Building the Data Analytics Team

Leaders are finding that recruitment from the outside can be useful but difficult, and that internally, talent can be developed to support analytics efforts. >>>

BCBS Ups its National Data, Care Coordination Game

A pair of announcements from the Blue Cross Blue Shield Association demonstrates its commitment to arming employers, providers, and members with a great wealth of quality and cost data to inform their healthcare decisions. >>>

ACEP: Better Ways to Treat Super-utilizers

For emergency department patients who are either lost to or failed by the system, conventional healthcare is about as uncoordinated as possible. New data-sharing and respite programs may help. >>>

The Population Health Commitment

While leaders recognize the value of a new healthcare model, they are still early in forming strategies and making investments. >>>

Medicare Advantage: Room for Improvement

The idea that Medicare Advantage could reduce costs through better care coordination hasn’t played out as intended, says the executive director of the Medicare Payment Advisory Commission. From Medpage Today. >>>

LIVE Webcast

Webcast: Integrating Behavioral Health—Decreasing Costs and Improving Care

Date: November 17, 2015, 1:00–2:00 p.m. ET
In this expert webcast, hear how Carolinas HealthCare System developed a strategy to optimize resources to create a truly integrated model.
Register Today >>>


News Headlines

CA fines top health insurers for overstating Obamacare networks

Los Angeles Times, November 4, 2015

Why health co-ops are closing in so many states

Governing, November 4, 2015

Welcome to the cloud hospital, where big data takes on mysterious medical conditions

Fast Company, November 4, 2015

Kaiser to buy stake in Dignity Health hospital

San Francisco Business Times, November 4, 2015

Health insurers struggle to profit from ACA plans

MarketWatch / The Wall Street Journal, November 3, 2015

TX’s changing relationship to Obamacare

NPR / Houston Public Media, November 3, 2015

TX doctors wary of Aetna-Humana merger

Houston Chronicle, November 3, 2015

BJC HealthCare cracks down on out-of-network patients

St. Louis Post-Dispatch, November 3, 2015

Medicare cuts back work of auditors probing improper payments to hospitals

The Wall Street Journal, November 2, 2015

Prices, politics challenge health law’s 3rd sign-up season

The Charlotte Observer / Associated Press, November 2, 2015

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Is All of Your Leadership Team In The Know?

Our award-winning Daily News & Analysis e-newsletter can keep your leadership team abreast of relevant breaking news, and with in-depth industry coverage through 10 weekly e-newsletters that hit every pillar of healthcare, we’ve got your whole leadership team covered. Subscribe to any — or all — of our e-newsletters.

Multimedia/Events

HealthLeaders Media LIVE from Memorial Hermann: A Care Management ACO

Date: November 11, 2015 | 11:00–2:00PM ET
In this live e-conference, Memorial Hermann shares details of its multi-pronged approach to its successful accountable care organization, including how physician alignment, patient engagement methodologies, and a focus on community health have propelled it to the top.
Register Today >>>

From HealthLeaders Magazine

Rural Healthcare and the Challenge of Population Health

The issues facing rural providers are significant, but leaders are creating ways to survive in the changing healthcare environment. >>>

 

Leveraging Resources Through Clinical Affiliations

 

HCAHPS: Making a Difference While There’s Still Time

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HCPro.com – Health Plan Insider

Description of medical savings accounts ? savings of medical costs of retirement

Variations in medical savings accounts as of January 1, 2007, will attract new interest in the plans. However, there remains a gap in knowledge about the actual use of these plans. A recent article on the financial health of savings in the Wall Street Journal Online and questions about the possibility of using an HSA as a vehicle for savings for future expenses for the use of funds in the HSA to pay medical expenses immediately. Itemimplied that it was a matter of choice or election.

HSA many users are not aware that the IRS allows investors to HSA savers and time consuming.

As an affiliate of Entrust Group, we offer training courses for employers, employees and professional advisers, training on the rules of the HSA and HDHP. Surprisingly, consultants and users to understand much less real, as the HSA.

Contrary to popular belief, there is no effort for the HSAthe distribution of medical expenses. Select In other words, the owners, HSA to pay medical bills from his personal funds in May, rather than immediate return of the costs of their HSA, defer payment until they actually need the money. Meanwhile, the fund is to grow tax free. While the rest of the funds outside the HSA, more able to develop more. The crystals can be paid from his pocket and then reimbursed from the HSAThe next day, the next year or 20 years. The choice belongs to the owner of the HSA. So if a person unable to pay employees, so there’s really no reason to take the money from the HSA. The taxpayer has the option of taking a refund of disability. Therefore, the additional resources that will be delivered in May HSA-term higher returns. Our clients, who as a long-term investors to benefit from this approach because it allows for greater stability in generalThe balance of the account and the potential for growth.

Similarly, many taxpayers do not have, that the expenditure incurred for the balance of the HSA in May the following year. The only requirement is that the expenditure is incurred before the HSA, there must be. Unfortunately, the IRS Form 8889 does not show that power “, the tax may help developers of clients, all costs which have not yet been repaid.

After theseThe reimbursement of the United Nations for the amount of the balance of HSA to determine which are eligible for the free distribution of emergency aid into account, our company has created a ‘no-tracking system for reimbursement to organize our customers and to document expenses reimbursed by the United Nations.

Please contact us for more information on using a HSA for long-term investments, or call us for a WebEx seminar on basic concepts / HSA high deductible health plan fit to introduce. Bill Humphrey, director of EntrustIRA new direction, Colorado (www.NewDirectionIRA.com) was an activist in favor of health savings accounts since its founding in 2004. Colorado Bill is a CPA and has worked to support educational programs for users, and to clarify PCA Health Plan in order to develop understanding and use of the HSA. Entrust New Direction has plans to direct Internet users to HSA and the employer plans to adopt high-deductible health for their businesses to anticipate.

http://www.onlinesavings.pannipa.com/2009/12/description-of-medical-savings-accounts-savings-of-medical-costs-of-retirement/

About Author LG 42ld550

CMS Aligns Extreme and Uncontrollable Circumstances Policies with Medicare Shared Savings Program

2017 was a rough year. Hurricanes Harvey, Irma, and Maria battered parts of Florida and devastated Puerto Rico. Wildfires destroyed hundreds of thousands of acres in Northern California. And the Centers for Medicare & Medicaid Services (CMS) implemented a new payment system tied to improved health outcomes and reduced spending — two things that are impossible to control in […]
AAPC Knowledge Center

How to Download and Register AAPC’s Passport Savings App

AAPC members can receive exclusive discounts and deals on products, services, and more. Use the Passport Savings app and search by location, products, or brands. Earn back the cost of your membership every time you shop. Follow the steps below to download and activate the app on your mobile device. Register at AAPC 1- Log […]
AAPC Knowledge Center

How to Download and Register AAPC’s Savings Connection App

AAPC members can save thousands each year on local and national brands when using the AAPC Savings Connection mobile app. Search by location, products, or brand. Earn back the cost of your membership every time you shop. Follow the steps below to download and activate app on your mobile device. Downloading the App 1 – […]
AAPC Blog

…Money Towards a Charity on the 12 Day of Savings

Purchase training today and we will give back to Toys for Tots!

On the 12th day of savings, MMI gave to me…money towards a charity!

MMI is proud to announce that we will be donating a portion of the proceeds from today’s training purchases (December 23) towards the “Marine Toys for Tots Foundation.” For every $ 100 spent, MMI will donate $ 10! 

Toys for Tots is a top rated charity

Did you know that Toys for Tots is a top rated charity? 97% of donations go to the mission of providing toys, books and other gifts to less fortunate children. The 3% spent on support principally covers fundraising expenses – not one donated dollar goes to pay for salaries or any other manpower costs.

The mission of the U. S. Marine Corps Reserve Toys for Tots Program is to collect new, unwrapped toys and distribute those toys as Christmas gifts to less fortunate children in the community in which the campaign is conducted. Most campaign sites are able to assist children up to age 12, but in many local communities, local support is such that the age limit may be extended to 14-16. 

Click here to learn more about the Marine Toys for Tots Foundation.

 

Purchase today to give back! 

Enroll in any of MMI’s training programs or CEU courses, or stock up on your coding books today (December 23), and for every $ 100 purchased MMI will give $ 10 to the Marine Toys for Tots Foundation. Tis the season of giving! 

 

Questions? 

If you have any questions please contact an MMI representative. Call 866-892-2765 or email [email protected]

The Medical Management Institute – MMI – Medical Coding News & MMI Updates

AAPC Savings a Valuable Member Perk

AAPC has done a great job of offering members many different perks.  These perks are not just limited to the medical arena. Did you know your membership gives you access to AAPC Savings?  This is an awesome place to find discounts on nearly everything you need in your daily life! You will find access to […]
AAPC Blog

Free 2016 Coding Book…On the 6th Day of Savings

Free 2016 Coding Book Today Only

 

On the 6th Day of Savings, MMI Gave to Me….a FREE 2016 Coding Book!

Today only (December 15th) you will receive a free 2016 coding book when you make a purchase over $ 400! This can be towards any of MMI’s CEU courses (AAPC & MMI Approved), certification training courses, renewal fees (members) or certification exams. You will have your choice of the 2016 CPT® Book, 2016 ICD-10-CM Book, or the 2016 HCPCS II Book. 

This promotion will only be valid on Tuesday, December 15th. When purchasing online, be sure to specify which book you would prefer to receive in the ‘order notes’ at the check-out page. A member services representative will follow-up with you to confirm the shipping address. 

Start Shopping to Get a Free 2016 Coding Book

 

Questions? 

If you have any questions please contact an MMI representative. Call 866-892-2765 or email [email protected]

The Medical Management Institute – MMI – Medical Coding News & MMI Updates