State-by-State Impact of Readmissions Penalties for 2015

When we reviewed the impact of readmissions penalties across the country, some interesting trends began to emerge. Much of the penalty is focused on hospitals in the eastern half of the country. This is most likely due to those hospitals having higher infrastructure and labor costs reflected in their Medicare reimbursement rates, which are a […]

Benefits of Forming an Accountable Care Organization and other healthcare news articles – February 21-27

Our selection of top healthcare news articles from around the web "CMS has paid $28B in MU incentives: A breakdown of payments" http://t.co/TOM8r8Sd9v #medicare — BESLER Consulting (@BeslerDotCom) February 23, 2015 Feds look closely at Medicare Advantage plans in risk adjustment probe http://t.co/HZ9SWLYgE1 pic.twitter.com/k2Cm1IZohC — BESLER Consulting (@BeslerDotCom) February 23, 2015 "EHR Incentive Payments, Medicare […]

Overview of CMS Readmissions Penalties for 2015

For Fiscal Year (FY) 2015, the Centers for Medicare and Medicaid Services (CMS) has estimated that total readmissions penalties will be approximately $428M, up from $227M in FY 2014. The Affordable Care Act established the Hospital Readmissions Reduction Program (HRRP), which imposes penalties on hospitals deemed to have “excess readmissions.” To calculate the penalty, CMS […]

Where are the Medicare Shared Savings Program Accountable Care Organizations? and other healthcare news articles – February 14-20

Our selection of top healthcare news articles from around the web   Where are the Medicare Shared Savings Program Accountable Care Organizations? [full list] http://t.co/lkCVCDxAk1 pic.twitter.com/jzxGsVtTSG — BESLER Consulting (@BeslerDotCom) February 18, 2015 "Cleveland Clinic launches #Medicare Shared Savings ACO" http://t.co/WdT181IcG0 by @beckershr — BESLER Consulting (@BeslerDotCom) February 16, 2015 Study looks at #hospitals treating […]

CMS releases latest public use file (PUF) data tables

  Hospitals should carefully review their data to ensure that any adjustment that they had sent to their respective MACs has been included in the latest release of data.     On Friday, February 13th, 2015 CMS released its latest public use file (PUF) data tables.  These tables are the latest revisions to the data […]