As CMS launches its mandatory bundled payment program, payers on the fence may be wondering if it’s time to push their providers toward bundles also. A number of commercial insurers […]

We have discussed payment adjustment for readmission measures in previous blogs. In those blogs, we focused upon risk-adjustment, preventability and the need to account for socioeconomic status (SES) when necessary […]

Responding to value-based-purchasing, provider groups across the US are implementing or tweaking programs to reduce unnecessary hospital readmission or emergency department visits. Much of this is stimulated by Medicare’s plans […]

Ever wonder how states (or CMS) set thresholds for readmission rates? Much has been said about and written on the subject, but there a few things I think are highly […]

When thinking of quality outcomes improvement, much focus is on the particular quality concern (such as a readmission, accidental laceration, etc.) and reducing the incidence through better practice, improved documentation […]