A nice summary on Medicare’s valuation approach to compiling a “price” it pays to a hospital for a stay. If you recall, there are 746 DRG’s CMS tweaks to an infinitely granular level to arrive at a reimbursement total.
As Reinhardt relays, CMS pays for costs, as close as it can approximate, not value.
If you are a hospitalist and have even a hint of skin in the game, i.e., you take care of patients, play with data, or are one of those advanced types who sit behind a desk and tell the rest of us what to do, this one is worth your time.
Take a look!
Also note, as reform advances, DSH payments will be clipped, labor costs will be contested and defended (“the unions are killing us,” “you are missing hidden costs in our city,” and non EBM-based political meddling), and GME dollars will be ratcheted up or down based on residency program performance. The wealth pie is shrinking and institutions will surely fight for every nickel.
Algorithm for a Hospital Episode Price
Like you, I am focused on care transitions these days. Inpatient providers have gotten closer to mastering the hospital side of things (disease-specific care), but we still have a long way to go on broad-based QI with items such as hand washing, nosocomial infections, and patient communication. Additionally, the patient’s passage back from the wards […]
Seen the State of Hospital Medicine report for 2018? I have, and there is erudition galore. Here is one that has me contemplating. I was surprised to see the breakdown below. Not so long ago, I would say less than ten years, the scatter for adults was more balanced. By that I mean, the 99222 codes were […]
Suppose I told you one of your patients: –Didn’t vote in the last five elections –Bought a 24 pack of Snickers bars and 12 pack of Cheetos on Amazon every three months –Participates in a Burger King Whopper loyalty discount program –Owns a Harley Davidson What conclusions would you draw as they relate to future […]