Nov
8
Written by:
SuperUser Account
11/8/2010 5:36 PM
Your bad quality will pay for other's improvements.
In the very near future of only 24 months, that is pretty fast in healthcare, your reimbursement will be cut back based on your poor quality. If you are in the lower 10%-20% of quality measurements, CMS will use 1% of your market basket to pay those who are improving quality and patient outcomes.
Where do you want to be in this bell curve? Do you want to wait and see how others are doing it? Follow the pack? Get in line? You better not be too far back. It will be like waiting in line at the movie theater and just as you get to the window, they are sold out.
The rules are not yet known, but the game is on. The discussion started in earnest last week as CMS conducted an open discussion of the Value Based Purchasing initiative to take effect in FY2013 and beyond. The measures from FY2011 and FY2012 might come into play. For a great summary of this conference call, please look at this summary article by Cheryl Clark for HealthLeaders Media, October 28, 2010. http://www.healthleadersmedia.com/content/QUA-258343/Winners-and-Losers-in-the-Quality-Race-for-Cash.html
So now the trick is to invest in quality improvement, get systems in place to collect and use quality core measures, not just for reporting, but for real time analysis. It will take some time, but the longer you wait, the less chance you will have to be at the head of the line. The top 10%-20% get the bonuses. And it is not just the CMS 1% increase that you will reap. What about significant reductions in the cost of poor quality, the improvements in patient outcomes and satisfaction, and the improved position your organization will have in the consumer oriented healthcare public of the future.
What are you investing today in improved quality measurement, process improvement and patient outcomes?
4 comment(s) so far...
Re: Pay for Performance Winners and Losers
If you are in the lower 10%-20% of quality measurements, CMS will use 1% of your market basket to pay those who are improving quality and patient outcomes.
By apb cash on
8/29/2011 9:19 PM
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Re: Pay for Performance Winners and Losers
Health is always the most interesting topic people concern most.So be a moral doctor and be a high-quality patient is pretty significant.
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By Gold Angel on
3/28/2012 9:15 PM
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Re: Pay for Performance Winners and Losers
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By Gold Angel on
3/28/2012 9:16 PM
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