Reform Affecting Reimbursement Levels

Monday, April 19th, 2010
This post was written by Patricia Donovan

Late last week Congressional and presidential actions postponed to June 1 a scheduled 21.2 percent cut in Medicare physician pay. In this week’s Healthcare Business Weekly Update, we feature an AARP survey that finds that one in five Idaho physicians are not accepting new Medicare patients, with one in four refusing new Medicaid patients. This trend is echoed around the country, according to the American Medical Association’s reaction to the postponed cut.

Also affecting reimbursement levels are avoidable hospitalizations and readmissions of Medicare patients. That’s why more healthcare organizations place case managers at care sites to help coordinate complex care and smooth transitions between care sites. This week we present findings from our 2009 Healthcare Case Management study, with details on case manager case loads, work locations, performance evaluation and effect on utilization.

You’ll also hear from Susan Shepard of The Doctors Management Company on the type of patient most at risk for readmission and how a patient’s primary physician can contribute to a successful hospital discharge.

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