Round and Round We Go…

Error Rate Now Under 1%

I intend to initiate a write-in campaign to DRAFT former White House Budget Director Jeffrey Zients to take over CMS and the entire Medicare & Medicaid payment systems, as a result of his quick success in fixing, having brought the site to a point of now having an error rate of less than 1 percent, in a matter of weeks, according to a report from The Hill.

Perhaps he could work some magic on the 2014 IPPS Final Rule?

Here is the White House Press Secretary Jay Carney reporting Zients’ appointment to fix…

Read more at: Repair Effort Official: Error Rate Down to Less Than 1%

Meanwhile, Let’s Keep Feeding a Vicious Circle

A recent article suggesting methods to “succeed” in the US healthcare market had a typically dumb view, in my opinion, of how to “transform” and thereby survive. For providers, they suggested “beginning to view the assumption of risk as a competitive advantage. For example, a provider could take a fixed fee to cover an employee population instead of charging for each service provided.”

Now to my way of thinking, this is merely taking on additional costs. Such a strategy leaves providers in a vicious circle of having to borrow and/or seek support from communities, instead of breaking the cycle of filing claims without truly understanding the system of billing, which is stacked against them, especially without more proactive training and education for those filing the claims.
Read more at: Rx for Transformation: Strategies and Tactics to Succeed in the Turbulent U.S. Healthcare Market

Worth Watching?

Blue Cross Blue Shield of Michigan just signed a value-based reimbursement agreement with Munson Healthcare, an eight-hospital system based in Traverse City, Mich. Perhaps the model offers some relief from a pay-and-chase model? BCBS also inked a similar agreement with Livonia, Mich.-based CHE Trinity Health’s 12 Michigan hospitals in April.

Read more at: Munson Healthcare Signs Value-Based Reimbursement Deal With Blue Cross

One Way to Fix the Front End… sort of.

Hospitals and physician groups–expecting a rise in the number of patients with high-deductible health insurance plans–are coming up with strategies to ensure they receive payment for providing services for scheduled or elective surgeries.

Read more at: Hospitals seek patient collection strategies: Cash upfront, payment plans

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