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Transcripts For CSPAN3 Politics Public Policy Today 20141031

So to give you a sense of why that really diminishes the incentives, if you think about an aco increasing spending during a Contract Period, medicare shared savings program, aco for example that isnt facing any Downside Risk, they are penalized for doing that. And it increases their benchmark for the following Contract Period and then they can receive a shared savings bonus for doing nothing. Under the pioneer program, they are penalized for doing more, but again theres that offsetting effect by the benchmark going up and the subsequent Contract Period, so for pioneer acos the incentives are more akin to fee for service with a lag. Then, thinking about the fixed costs of investing in systems to actually control spending, the rebasing is that much more of a problem because it may be hard for acos to recoup their investments of investing in the right systems. So that is one challenge. And i know sean and his team is working hard on a revamped proposed rule for the shared savings program.

Transcripts For CSPAN3 Politics Public Policy Today 20141020

We were able to cut down readmission rate dramatically and our emergency room rate dramatically. The only thing that went up in our database was primary care visits. Once again, not necessarily perfection but i think as a Clinical Study it was shown to be effective. And once again the reimbursement and the savings bears out that case. We also initiated some relatively interesting demonstration projects. We identified our congestive Heart Failure patients who were having problems with frequent readmissions. We did something very simple. We put scales in their house that automatically sent their weights directly to the doctors Electronic Medical records. Not a very expensive proposition. As soon as it was greater than a one pound change in the patients they got a phone call to find out what had changed and whether or not they were being noncompliant with either medication or diet or what changes had occurred. And in patients who routinely would have four or five hospital admissions in a

CMS Focusing on Better Aligning Quality Measures, Adding New ACO Models

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