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Perspectives on Trends within the Home Care Industry: Pay for ...

Source: marketing.ocsys.com
Topic: Home Industry

Sort Desciption: The Home Care industry is once again alive with discourse about potential changes. in reimbursement. Discussions center on PPS adjustments, ...

Content Inside: Perspectives on Trends within the Home Care Industry: Pay for Performance White Paper 04-003 Contents 1. Background & Introduction 2. What is Pay for Performance? Pages 1-2 3. Why Pay for Performance? Why Now? Pages 2-3 4. Who Pays for Performance? 5. Bridges to Excellence 6. Integrated Healthcare Association (IHA) Pages 4-5 7. Medicare’s Pay for Performance Initiatives Pages 5-6 8. What Types of Benchmarks are Used to Measure Providers? Pages 6-7 9. Pay for Performance throughout the Continuum Pages 7-9 10. Considerations in Designing a Pay for Performance System— Payment Pages 9-10 11. Considerations in Designing a Pay for Performance System— Performance Pages 11-12 12. What Steps Can a Home Care Agency Take to Prepare for Pay for Performance? Pages 12-15 13. Conclusion W P 0 4 - 0 0 3 © 2 0 0 4 O u t c o m e C o n c e p t S y s t e m s , I n c . P a g e 1 Background & Introduction The Home Care industry is once again alive with discourse about potential changes in reimbursement. Discussions center on PPS adjustments, including changes in M0825 Anticipated Therapy, and the potential for a pay-for-performance (P4P) model of linking outcomes and payment. While we cannot be entirely certain that these projections will become realities any time soon, many experts warn that P4P may be right around the corner. Any time that an industry experiences change, some businesses are on the leading edge and others take the time to adapt slowly. The same is true for home care—as the industry has evolved in recent years, some agencies have garnered a significant advantage through advanced preparation, while others have cautiously and slowly adapted their business. This scenario was true when the Prospective Payment System (PPS) was implemented in home care, and it will again be true if P4P becomes a reality. Therefore, there exists a significant opportunity for those agencies that prepare in advance of the implementation of P4P—an opp ...

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