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Health Care Reform: Advantages & Pitfalls

Reacting to changes due to the comprehensive health care reform legislation signed into law is necessary in order to manage costs and take advantage of new reimbursement opportunities.  HORNE LLP's "Health Care Reform:  Advantages & Pitfalls" provides you high profile health care reform information and facts including real examples on what you need to know.

The "Health Care Reform:  Advantages & Pitfalls" series is driven by market and regulation developments, focused on explaining changes that affect hospitals and hospital systems.

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January 31, 2011
Preparing for Accountable Care Organizations

The goal of the creation of Accountable Care Organizations is to reduce healthcare costs while improving the quality of patient care, and at the same time increase efficiency in the delivery of that care. This article discusses the steps that need to be taken to prepare for an ACO.

October 29, 2010
Bundle Up?  Some Providers May Be Left in the Cold

The Patient Protection and Affordable Care Act 2010 (PPACA) has charged the Secretary of Health and Human Services (HHS) with establishing a national pilot program on payment bundling. This article covers goals of the program and the changes that hospitals must be aware of.

September 30, 2010
Value Based Purchasing: What Providers Should Expect

In keeping with Centers for Medicare & Medicaid Services' continued efforts to overhaul the Medicare program delivery systems, the Secretary of Health and Human Services will create a Value-Based Purchasing (VBP) program to provide incentives for hospitals to focus on high quality, cost-effective care. This article covers what initiatives providers need to address to receive a favorable VBP distribution.

August 30, 2010
Let the Payment Reductions Begin

In order to generate its proposed savings to the health care system, the Patient Protection and Affordable Care Act (PPACA) includes substantial reductions to hospital's market basket updates as well as cuts to their Medicare and Medicaid disproportionate share hospital (DSH) payments.  This article discusses the reductions to Medicare and Medicaid DSH.

July 22, 2010
Health Care Reform:  Making it Unprofitable to be a Non-Profit

Section 9007 of the Patient Protection and Affordable Care Act (PPACA) has made being charitable organization a whole lot more difficult, particularly if you are a hospital.  This article covers the additional requirements that charitable hospitals have to provide for exemption from federal taxation.

June 21, 2010
Extension of Rural Medicare Protections & Enhancement of Medicare Low-Volume Hospital Payment Adjustments

The Patient Protection and Affordable Care Act (PPACA) includes a number of provisions that take effect over the next four years. These provisions that are further discussed in the article include extensions of the following: outpatient hold harmless provision (outpatient corridor payments), Medicare reasonable costs payments for certain clinical diagnostic laboratory tests furnished to hospital patients in certain rural areas, and temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals.

June 3, 2010
Changes to Medicare Market Basket Updates

One of many reductions to provider payments enacted by the 2010 Health Care Reform Legislation is related to the annual market basket updates. The law reduces market basket updates for inpatient and outpatient hospital services, as well as for Inpatient Psychiatric Facilities (IPF's), Inpatient Rehabilitation Facilities (IRF's) and Long Term Care Hospitals (LTCH's). This article discusses what changes will take place and when they will occur.

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