Multiple Chronic Conditions Blog

Better Care, Smarter Spending and Healthier People

The Health Care Payment and Action Network (HCPLAN) announced today the release of the finalized Alternative Payment Model (APM) Framework White Paper. This document provides definition and direction for the country on the new and evolving payment model categories eventually leading into population based payment.

Provider Accountability and Transparency, 2016

The federal government seeks input from the Measure Applications Partnership (MAP), a public-private partnership convened by the National Quality Forum (NQF), to provide recommendations to the Department of Health and Human Services (HHS) on the selection of performance measures for public reporting and performance based payment programs.

Population Based Health

The need for action was enacted by Congress in 2010 with the Affordable Care Act's goal for: Better Health, Better Care and Reduced Cost. By the end of 2018, 90% of Medicare and Medicaid reimbursement will be tied to quality – with at-risk contracts with providers and healthcare organizations – in the form of Accountable Care Organizations, Medical Homes and Bundled Services. In 2020 75% of Commercial plans will be value-based.

Are you prepared to make the transition from fee-for-service to value?

By 2018 90% of Medicare fee-for-service reimbursement will be tied to quality. If practices or providers do not participate in the value based reimbursement programs such as meaningful use and provider quality reporting systems (PQRS) in 2016 – expect up to 9% in penalties.

Prescription Drug Abuse – What Are the Trends?

The Obama Administration on October 22, 2015 Announced Public and Private Sector Efforts to Address Prescription Drug Abuse and Heroin Use. As part of today’s event, the President will announce federal, state, local and private sector efforts aimed at addressing the prescription drug abuse and heroin epidemic in the US.

New US Department of Health and Human Services Education and Training Resources on Multiple Chronic Conditions for the Healthcare Workforce

The Office of the Assistant Secretary for Health, in collaboration with the Health Resources and Services Administration (HRSA) of the US Department of Health and Human Services, recently released HHS Education and Training Resources on Multiple Chronic Conditions (MCC) for the healthcare workforce this resource will provide health care professionals with clinical education on the care needs for patients who are living with and dying from multiple chronic conditions.

Chronic diseases are responsible for 7 out of 10 deaths and account for more than 80% of the 2.7 trillion the nation spends annually on health care. Chronic diseases are responsible for 7 out of 10 deaths and account for more than 80% of the 2.7 trillion the nation spends annually on health care.

The US Department of Health and Human Services (HHS) on September 25, 2014 announced $212 million in grant funding to prevent chronic disease.

Are You Preparing for Changes in Fee-for-Service?

On March 25, 2015 President Obama recognized the massive changes that have been made in the health care system over the past 5 years through the Affordable Care Act. He announced the launch of the Health Care Payment Learning and Action Network.

Self-management can reduce risk factors, promote adherence to medication, increase physical activity and reduced hospital re-admission rates Self-management can reduce risk factors, promote adherence to medication, increase physical activity and reduced hospital re-admission rates

Empowering, engaging and educating individuals in self-management of chronic conditions can increase patient activation to change health behaviors and improve health outcomes.

Your Future Reimbursement will come from: Accountable Care Organizations, Bundled Care and Medical Home Models

The Affordable Care Act is well underway and the current of change in fee-for-service clinical encounters will soon become a distant reality with the announcement by the US Department of Health and Human Services Secretary Burwell in January, 2015 and the Centers for Medicare and Medicaid call for the New Generation of Accountable Care Organizations. March, 10th.