100 Things to Know About Medicare Reimbursement

One of Optimium Health’s goals is to help our clients and blog readers get easy access to informative, topical articles that have been recently published by reputable organizations. Becker’s Hospital CFO is once such publication and “100 Things to Know About Medicare Reimbursement”, written by Helen Adamopoulos, is one such article. Below is an excerpt and link to the entire piece:

“It’s often said that where Medicare goes, private payers will follow. For hospitals, health systems and other providers, it has been the most influential healthcare program for the industry in recent decades.

Medicare continues to play a prominent part in various reform movements, such as the shift from fee-for-service to value-based payments and the push for greater price transparency. The program’s pay rates and policies have the potential to act as a catalyst for change nationwide, or to provoke coast-to-coast controversy (as has been the case with the new two-midnight rule).

The following list sheds some light on the many facets of and issues surrounding Medicare reimbursement in the form of 100 things to know, covering everything from the latest update to the inpatient prospective payment system to the Bundled Payments for Care Improvement Initiative”.

Click here for the entire article: https://www.beckershospitalreview.com/finance/100-things-to-know-about-medicare-reimbursement.html

With the shift from fee-for-service to value-based payments and the push for greater price transparency, the pressure for hospitals to lower costs and improve patient throughput while delivering higher quality of care with the same resources has never been greater. Process improvement, led by LEAN initiatives, has been cited by leading hospital CEO’s as a viable way to achieve these goals.

Optimium Health’s OPTIMI$ERTM Clinical Workflow Suite for the Perioperative Setting, In-Patient Units, and Discharge Planning has a proven track record of bottom line contribution and return on investment. Importantly, OPTIMI$ER can help your health organization achieve its CMS goals of lowering the cost per patient served, improving the patient experience, and reducing the 30-day readmission rate. A complement to LEAN, OPTIMI$ER can help improve LEAN initiative overall efficiency and sustainability. If you would like additional information please contact: heather@waohi.azurewebsites.net


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