Expansion of new ICD-10 codes has slowed. The 2019 Inpatient Prospective Payment System proposed rule covers many Medicare Severity Diagnosis-Related Groups (MS-DRGs) changes, in addition to changes to the Value-Based Purchasing (VBP), Hospital-Acquired Conditions (HACs), and Hospital Readmission Reduction program, as well as the post-acute care transfer policy. The length…
Before I get into detail on this topic, let me establish a baseline understanding. Whether it be the Medicare Access and CHIP Reauthorization Act (MACRA) and value-based programs; the Healthcare Effectiveness Data and Information Set (HEDIS) measures, used to measure performance on important dimensions of care and service; or even…
First, I want to clarify something about a term used by Medicare for healthcare providers. Value-based purchasing, or VBP, can sound like a good idea unless you realize that it’s actually the purchaser getting the value, along with the Medicare program, and not the provider or patient. It would be…