Alternative Reimbursement Model to replace Fee-for-Service?

RecycleBin2FullThere are many people who believe that fee-for-service reimbursement methods are on their way out… While this may be true, the fact remains that ACO regulations and the new HHS announcements call for reductions in cost which equates to the fees for services that are provided by physicians to patients.

However, on March 25th HHS reiterated its goal of tying 30 percent of payments to quality and value through alternative payment models by 2016 and 50 percent by 2018 under new approaches to paying for health care created by the Affordable Care Act. Link: The healthcare industry faces massive transformation in the future.

Healthcare & Technology


Guy Recreates Original Mad Max Interceptor Car

Mad Max and all of it’s sequels have constantly been my preferred films. I have actually seen them hundreds of times. If I could develop the last of the V-8’s I would. This Mad Max fan did just that, producing his own version of Max’s Interceptor. I am so jealous I might go all Night Rider on him and make him wreck while chasing me.

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This guy invested $ 125,000 and paid a business to take his 1972 Australian Ford Falcon and transform it into an Interceptor, right to having the exact same steering wheel as the one made use of in the motion picture. This guy made his dream become a reality and I’ll just need to be happy living vicariously through him.

Now all he needs is a partner named Goose on a cycle.

[by means of SpeedSociety]


Mad Max: Fury Road Flamethrower Ukulele

Among the more wayward parts of Mad Max: Fury Road is the so-called “Doof Warrior” and his rock-and-roll rig on wheels. I specifically loved the large stack of amps and speakers, and the ridiculous bungee thing he was swinging from. Of course, his flaming guitar was very hysterical too.

Our buddy Caleb Kraft over at Make: liked it enough to make his own flamethrowing string instrument. But instead of going with an electric guitar, Caleb’s axe is a ukulele – – and it’s pretty impressive if you ask me.

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The whole thing is self-contained, so it’s truly extremely a portable weapon. The crucial elements consist of an igniter, a butane canister, a caulk gun, some moldable plastic, and a hose. You can examine it out in action in the video below:

Head on over to Make: for the complete develop guide. Remember that with a project like this, you’re actually playing with fire, so kindly use caution if you decide to attempt and duplicate Caleb’s fiery instrument. And definitely do not try and play it while dangling from a bungee rig on a moving automobile.



Where Does He Get All Those Wonderful Ties?

Each time I wear a tie, I believe the individual who invented it must have been some sort of bosshole who wanted a choking gadget connected to the neck of all staff members just in case he required to set an example. If you have a job where you have to put on a tie, you need to actually discover another task. But if you can’t or you like your job too much, at least get some enjoyable ties.

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These Batman silk ties are quite cool as far as choking devices go. They are made from silk and one of them is sort of silvery-grey with yellow Batman logo designs on it. The other is blue and has the Batman cowl.

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The word “cowl” always makes me consider a vehicle, I simply call it the Batman hat, you know the part with his sharp fake ears. Either of these ties will certainly set you back $ 49.99(USD) at ThinkGeek, which is a great deal of money for something uncomfortable that none people really wish to use.


Accountable Care Organizations and use of Telehealth/Telemedicine?

LampOnLink: Early Cost savings from Banner Telehealth Pilot

Health Data Management (in the above link) reported cost savings from use of Telehealth that resulted in decreases in readmissions and health care expenses. The ONC’s Federal Health Information Technology Strategic Strategy 2011-2015 described the use of innovation to enhance care, improve population health and decrease per capita costs of health care. Objective II defined chances to Enhance Care, Improve Population Health, and Reduce Healthcare Costs through using Health IT.

This very same technology could be used in an Accountable Care Organization (ACO) to enhance care and minimize expenses. Systems, like telehealth, have actually been executed in particular ACOs. Remote monitoring, mobile health (mHealth), and the medical house have the prospective to positively influence patient lives.

The light bulb has been turned ON. Health care is migrating from a disease management system to a “National Prevention and Health Promotion Method” that avoids adverse health conditions where possible, expects and replies to threats and emergency situations and determines at-risk populations. To me, this strategy represents the objectives for ACOs.

Lowering spend for ACO populations is key to health change and total expense reductions in Medicare spending. According to the Banner Health Telehealth pilot, results were remarkable. By having a strong support group for clients, clinicians had the ability to “gather and analyze objective and subjective health details to identify early stages of deterioration” and to prevent aggravating health conditions. Banner health reported registering its 500th patient into their program.

An Accountable Care Organization has a minimum of 5,000 patients with care coordinators accountable for monitoring client condition. Their beneficiaries lie throughout a geographic location and the ACO might gain considerable cost decreases with positive patient care chances using Telehealth.

Several years back, I was asked to be a panelist on a Bloomberg webinar on Telehealth. The concern at the time was easy, “Is telehealth a sensible option to in person patient care?” I thought it then, and I believe it now, when made use of in appropriate circumstances. To find out more on Telemedicine and its Telehealth subpart, read this post about the World Health Company and Telemedicine Opportunities.

Health care & Innovation

Interested in a Masters degree in Health Informatics?


I was asked to take part in a video (above) about the University of South Florida Morsani College of Medication’s graduate program for Health Informatics. Since it is an online program, there were students from throughout the country in addition to Florida. I was able to finish the program in a little over a year.

If you’re interested in discovering more about Health Informatics examine out the curriculum on the USF web site.

Health care & Technology

Pioneer Accountable Care Organizations exhibited smaller Medicare expense

BinocularsLink: JAMA

In 2012, CMS launched the Leader Accountable Care Organization model and the Medicare Shared Cost savings Program. The Pioneer ACO design is a more ambitious test of population health management that targets experienced companies. This design is an attempt to check practicality of Accountable Care organizations and their ability to lower spending and enhance the quality of care supplied to recipients.

A research study reported in the May 4, 2015 edition of JAMA evaluated Medicare spending, usage and CAHPS domain scores for Leader ACOs in 2012 or 2013. The goal of the research study was to assess spending and usage between recipients aligned with Leader ACOs and other FFS recipients.

The study was “based upon the work of evaluation professionals for the Assessment of CMMI Accountable Care Organization Initiative performed under Agreement HHSM-500-2011-00019i/ HHSM-500-T0002 with the Centers for Medicare & & Medicaid Services (CMS). CMS provided access to the information to the examination specialists to perform analyses under the guidance of Drs Nyweide, Lee, and Cuerdon. In conjunction with the specialists, Drs Nyweide, Lee, and Cuerdon created the research study and assisted with interpretation of the data.”

Information was gotten from CMS’ Chronic Conditions Data Storage facility. The CMS Chronic Conditions Data Stockroom (CCW) provides researchers with Medicare and Medicaid beneficiary, claims, and assessment information linked by beneficiary throughout the continuum of care. The following graph is an example of Medicare Chronic Conditions by Medicare Condition Code for 2013.


To learn more about Accountable Care Organizations and the policies that support them see the ACO Survival Guide shop. ACO Quality Checklist coming soon!

Health care & Innovation

Is Fee-for-Service dead?

GraphPie2Link: CMS Lays Out Vision for Medical professional Quality Reporting Programs.

“With passage of H.R. 2 [SGR repeal and Medicare service provider payment modernization], key components of these medical professional programs will work as the foundation for the Merit-based Incentive Payment System.”

“The Strategic Vision describes in concrete terms how we will certainly advance the goals and objectives for quality enhancement described in the CMS Quality Method through these quality measurement and reporting programs.”

The Medicare Sustainable Development Rate (SGR) is a method to manage spending by Medicare on physician services. CMS’ Quality Approach looks for to enhance health results using medical quality improvement and health care transformation, including payment reform. The vision streamlines existing quality programs to lower healthcare professionals’ burden, acknowledging constraints of existing doctor quality reporting program requirements and regulative processes.



As revealed in January, 2015 by HHS, the relocate to move from a simply fee-for-service (FFS) payment system to alternative payment approaches, like Accountable Care reimbursement models, benefit service providers based upon the quality and expense of care provided to Medicare recipients. HHS revealed the goal of “tying 30 % of payments to quality and value through alternative payment models by 2016 and 50 % by 2018 under alternative methods for payment reimbursement developed by the Affordable Care Act.

One aspect of the concern associated with quality reporting involves the collection of information from disparate sources in order to report and keep track of quality efficiency. This is exactly what I might think about the next step in technology use; motion from information caught in an EHR to analysis of scientific, functional and monetary data collected from numerous sources. Data collection may build up in an information storage facility or an application made use of for data evaluation. Keeping an eye on efficiency and quality metrics provide the chance for continuous enhancement in client care and minimized costs.

As an example, Accountable Care Organizations (ACOs) have actually shown their ability to reduce Medicare expenses in the short time of their existence. Since September, 2014, overall net savings to Medicare had to do with $ 484 million in shared savings.

Healthcare & Innovation