Secretary Alex Azar, Health and Human Services, spoke on March 5th, 2018, at the Federation of yank Hospitals. His presentation reaffirmed CMS’ commitment to value-based transformation. He said, “There is not any turning back to an unsustainable system that pays for procedures instead of the value”. Additionally, he said, “value must be rewarded handsomely”. With the repeal of SGR (sustained growth rate), provider reimbursement won't see a rise beginning of 2019. Therefore, the assessment useful (quality, stewardship of resources, appropriate utilization) will determine if and when providers will see additional reimbursement.
St. Vincent’s Health Partners (SVHP), Inc., the primary nationally-recognized clinically-integrated network by URAC, has developed a network and operational infrastructure to manage patients through quite 140 care transitions. SVHP is cooperating in most models of reimbursement counting Medicare Shared Savings, commercial and governmental payment models, and direct-to-employer contracting.
SVHP has partnered with PatientPing, a software company that permits care coordinators and therefore the medical management team to raised serve attributed patients and covered lives as they transition between healthcare settings. Our team receives a “ping” whenever a patient is seen within the emergency department, admitted to the hospital, or uses skilled nursing facilities and residential health agencies.