Industry Insights
Leading healthcare data analytics insights:
Singletrack Principal Jon Pearce will be presenting on "Data Analytics for Healthcare Financial Managers" at the PICPA Healthcare Conference on June 11, 2012. This session will discuss the challenges financial managers face to acquire information in databases, such as those provided by CMS to ACOs and bundled payment participants.
In the Bundled Payments for Care Improvement (BPCI) initiative, an important decision involves selecting the length of the episode. According to the CMS application guidelines, organizations choosing a minimum 30 day episode must propose a discount equal to at least 3% of the historical cost of the episode, while organizations selecting a minimum 90 day episode may propose a minimum 2% discount.
Participants in Accountable Care Organizations expect to be rewarded based on the success or failures of their clinical initiatives. However, a recent report in the New England Journal of Medicine suggests that the geographic adjustment factors apply by CMS may have a significant effect on ACO financial results. This article, entitled Implications for ACOs of Variations in Spending Growth describes situations in which the geographic region in which the ACO is located has a significant