To help drive the health care system towards greater value-based purchasing rather than continuing to reward volume regardless of quality of care delivered, HHS set a goal in 2015 to have 30 percent of Medicare payments in alternative payment models by the end of 2016 and 50 percent by the end of 20181. In March 2016, the Administration announced that it estimates it has already hit its first target – 11 months ahead of schedule2. There’s no doubt that the home health fee-for-service payment model is quickly being replaced with payments tied to quality of care results with increasingly rigorous scrutiny.
Fazzi’s 2016 National Home Care and Hospice State of the Industry Study is largest national research project in the history of the industry. The findings will be extremely important due to the unprecedented regulatory and payment challenges that are transforming the home health and hospice industry. Everything about this study is designed to help agencies improve quality and lower cost. Every agency that participates will receive an advance copy of the findings to be released this fall. Agency leaders may click here to volunteer to participate.
We’re pleased to tell you about a vital addition to our coding review process – the integration of STAR items into our coding review. The feedback you receive for each patient is easy to use and highlights those M-items that impact the Quality of Patient Care Star Rating, and ultimately, reimbursement.