Medicare and Medicaid Programs
Research and discuss the following: Accountable care organizations. Value-based purchasing. Never events. Explain how Centers for Medicare and Medicaid Services (CMS) is trying to improve health care quality with each of these programs.
Accountable Care Organizations - Accountable Care Organizations consists f groups of doctors, healthcare providers and hospitals who volunteer to provide coordinated care to Medicare patients . The aim of such organizations is to provide cost effective and quality care to patients on time and improving the health of population while saving costs.
Value based purchasing - It is the Medicare program initiative of linking the performance with financial incentives. The healthcare providers are paid for their performance and quality of care. The goal is to improve the quality of care in various settings and encourage healthcare providers with financial incentives if they perform as per the set of given criteria and standards.
Never Events- are the preventable medical errors or events that can be avoided with better care and nursing practices. It can avoid unnecessary harm to patients and the healthcare facility with use of more safety practices , better culture, trained workforce, use of technology and risk anticipation.
Centers for Medicare and Medicaid Services is trying to improve healthcare quality with each of these programs by focusing on the quality of care to be provided by the healthcare facilities and taking several measures like financial incentives, coordinated care, pay for performance programs for better use of resources and cost effective measures in healthcare. Various strategies and outcomes are evaluated to monitor the effectiveness of the program and plan for improving the overall population health.
Medicare and Medicaid Programs Research and discuss the following: Accountable care organizations. Value-based purchasing. Never events....
The Centers for Medicare & Medicaid Services has five original value-based programs. The purpose of these programs is to hold providers accountable for their quality of care. Do some research on the programs and select ONE pay for performance strategy. Your post should include: a description of the pay for performance strategy; the type of provider it applies to; and a discussion of the positive or negative issues that have been raised regarding that strategy.
The Center for Medicare and Medicaid Services (CMS) publishes a list of health care-acquired conditions (HACs). What actions has your health care organization (or health care organizations in general) implemented to manage or prevent these "never events" from happening within their health care facilities? Support your response with a minimum two peer-reviewed articles.
The Center for Medicare and Medicaid Services (CMS) publishes a list of health care-acquired conditions (HACs). What actions has your health care organization (or health care organizations in general) implemented to manage or prevent these "never events" from happening within their health care facilities? Support your response with a minimum two peer-reviewed articles.
Discuss success and failure of value-based purchasing in commercial, Medicaid, and Medicare managed care organization. PLEASE BE DETAILED
The Occupational Safety and Health Administration (OSHA), the Centers for Medicaid and Medicare Services (CMS), and The Joint Commission (TJC) require that health care organizations maintain risk management programs to address infection control. Detail three measures that your health care organization (or any health care organization) needs to address in the delivery of safe health care services. (Example: Placing hand washing devices at all of the public entrances of the health care facility). Support your response with a minimum of...
The Occupational Safety and Health Administration (OSHA), the Centers for Medicaid and Medicare Services (CMS), and The Joint Commission (TJC) require that health care organizations maintain risk management programs to address infection control. Detail three measures that your health care organization (or any health care organization) needs to address in the delivery of safe health care services. (Example: Placing hand washing devices at all of the public entrances of the health care facility). Support your response with a minimum of...
Why does the Centers for Medicare & Medicaid Services (CMS) believe that prevention of inpatient admissions will improve the quality of care in populations served by hospitals? What specific age group and diagnoses does the CMS monitor for readmissions? Does research tell us that so far prevention of readmissions has improved the quality of care for patients? How has hospital reimbursement been affected by the readmission standard mandated by the CMS? What recommendations (best practices) to decrease hospital readmissions have...
Compare and contrast each of the three questions related to Managed Care Organizations, Medicare, and Medicaid with one another and explain how they were similar and different to each other. Managed care organizations emphasize physicians' responsibilities to control patient access to expensive hospitalization and specialty care, a principle dubbed "gatekeeping." Some argue that "gatekeeping" is unethical because it introduces financial factors into treatment decisions. Others say it improves quality by promoting the use of the most appropriate levels of care....
Compare and contrast each of the three questions related to Managed Care Organizations, Medicare, and Medicaid with one another and explain how they were similar and different to each other. Managed care organizations emphasize physicians' responsibilities to control patient access to expensive hospitalization and specialty care, a principle dubbed "gatekeeping." Some argue that "gatekeeping" is unethical because it introduces financial factors into treatment decisions. Others say it improves quality by promoting the use of the most appropriate levels of care....
iew the following lecture: Medicare and Medicaid Introduction: Medicare and Medicaid are federal programs that cover a large proportion of the US population with healthcare. The two have similar objectives in the area of providing care, but there are significant differences in them that concern reimbursement. Tasks: Describe each program, Medicare and Medicaid. Provide the major features of each program. Discuss how these programs differ from each other. Briefly describe the process of how to bill for each program.