PDPM: Premature Celebration Could Be Your Costliest Mistake

February 12, 2020
Zimmet Healthcare recently wrote that PDPM is a “monumental improvement.” And, it is. For those of us who have spent hours, days, months, and even years prepping for PDPM, we’re satisfied with this new reimbursement model – even though there are plenty of concerns for the Centers for Medicare & Medicaid Services (CMS) to address. Early reporting suggests that the per patient day ($PPD) revenue has improved, but it is not clear whether the aggregate Medicare reimbursement has improved, stayed the same, or decreased. Length of Stay (LOS), alternative payment models, and hospital referrals must be calculated into PDPM’s overall...read more

A Win-Win Approach to Managing Length of Stay With Your Post-Acute Network

September 26, 2019
These days, the push and pull between hospitals and post-acute networks can feel a lot like wading in the ocean on a rough day. On the surface, requirements by the Centers for Medicare & Medicaid Services (CMS) are pushing hospitals to monitor patients post-discharge during a Skilled Nursing Facility (SNF) stay more closely, reducing their length of stay. But under those waves is an undertow: SNFs have different business goals. And some of those goals may compete with hospital objectives. Standing tall in this push-pull environment means managing length of stay while also improving outcomes for patients. How can hospitals...read more

Interventional Analytics Reduces Avoidable Readmission Rates

August 27, 2019
How interventional analytics can help reduce readmission rates Imagine you’re driving to the beach. It’s supposed to be a two-hour drive, but traffic and construction can affect your journey—sometimes by a lot. Ten years ago, you might have used a store-bought map or even directions printed from the internet. That provided plenty of information, but it was static. If there was a wreck causing a bottleneck 20 miles ahead, you wouldn’t know until you got there. Today, though, you use an app that tells you the most efficient way to go. The app updates conditions on the fly, so you...read more

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