Continuing from Monday's post, below are a few final comments from the presenters at the 2014 AHLA, Long Term Care and the Law Conference:
- Medicare may begin to use bundled payment. Managed Medicaid and Medicare Advantage plans (MA) will be more aggressive with using post-acute care as a cost containment tool. Providers who can achieve quality will be getting more referrals.
- Bundled payments will create new opportunities, but as I've mentioned in the past the lack of a common data set among all post-acute providers is a challenge to creating a bundled payments that truly captures outcome measures in a meaningful way. We are in a transition time, where we are being paid fee-for-service but it is unknown when it will shift.
- Kindred Healthcare is looking to squeeze out cost and generate (and share in) the savings. If days are taken out of the system, then the system will need to create a new payment model to reimburse for these improvements, rather than penalize the bottom line by diminished length of stay.
- ACO’s are undermined by open access. The government must address this or else the model will not succeed. If the patient is not engaged, then there is little chance of ACO's being able to effect cost (or quality). Perhaps, ACO's should create a financial incentive for patients to stay within the ACO network.
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