Blog

Hot topics in March included new reports on the state of value-based care and population health, interesting bundled payment initiatives and constant change in healthcare.  Here’s what caught our attention—what’s been on your mind?   Value-based care: Tagged as the most significant and pressing topic in healthcare this year Today’s Medicare Advantage plans are flourishing—the […]

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As the year rolls on, February’s news cycle featured a lot of dispatches from HIMSS, along with a few policy updates from CMS. Here’s what caught our attention—what’s been on your mind?   Policy Played a Big Role at HIMSS19 CMS Administrator Seema Verma at #HIMSS19 discussed new transparency requirements for Medicare program participants. This […]

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BPCIA, OCM, and more: A year of insight 2018 saw a number of changes, advances, and shifts in policy around alternative payment models. Throughout the year, DataGen offered our commentary and insight on the impact these issues would have for stakeholders across the country. In case you missed it, here’s what we had to say […]

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This guest blog is from Tamara Cull, Senior Vice President, Aveus. Aveus, a division of Medecision, sits at the intersection of strategy, customer experience, and innovation. Aveus specializes in helping complex organizations assess, implement and manage transformational business shifts.       My colleague, Kate Poglitsch at DataGen, posed a big question in her most […]

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We at DataGen were excited to hear last week’s news about the new mandatory oncology bundle that will focus on cancer patients undergoing radiation treatment. Though we’re waiting on CMS to release more information about its rulemaking, the Department of Health and Human Services’ (HHS) 2017 report to Congress contains some telling information that helps […]

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You may not know about MSPB, but focusing efforts there can lead to real savings Now that bundled payment programs like the Oncology Care Model (OCM) and the Comprehensive Care for Joint Replacement (CJR) model have been in effect for some time, one factor is becoming clear: hospitals appear reluctant to participate. As of July […]

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In recent weeks, CMS has unveiled a number of final and proposed rules impacting inpatient, outpatient, and post-acute care delivery. These rules include annual updates of the Medicare fee-for-service payment rates based on regulatory changes.  In addition to the regular updates to wage indexes, marketbasket, and quality programs, the rules include the following: The Inpatient […]

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CMS looks to payment and program revisions—comments due to CMS In new proposed rules, the Centers for Medicare and Medicaid Services (CMS) is calling for payment and program changes for four post-acute care settings: skilled nursing facilities (SNFs), long-term care hospitals (LTCHs), inpatient rehabilitation facilities, and inpatient psychiatric facilities. In addition to the customary marketbasket […]

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The impact of proposed bad debt changes Overview In February, the Department of Health and Human Services (HHS) released its FY 2019 President’s proposed budget, Putting America’s Health First. DataGen analyzed of the potential impacts of some components of this budget. One area that caught our attention was how the proposed budget affects bad debt […]

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Comments due to CMS by June 25 The Centers for Medicare and Medicaid Services (CMS) released its FFY 2019 Inpatient Prospective Payment System (IPPS) proposed payment rule. While we’re working on our in-depth analysis, a few key points and issues have already emerged in our review. The proposed rule reflects the annual updates to the Medicare […]

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