Connected Health, Policy, and Payments - David Sayen, Centers for Medicare & Medicaid Services - WLSA Convergence Summit 2014
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Connected Health, Policy, and Payments - David Sayen, Centers for Medicare & Medicaid Services - WLSA Convergence Summit 2014

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David Saÿen is the Regional Administrator at the Centers for Medicare & Medicaid Services San Francisco office. CMS Region IX includes California, Arizona, Nevada, Hawaii, and the Pacific ...

David Saÿen is the Regional Administrator at the Centers for Medicare & Medicaid Services San Francisco office. CMS Region IX includes California, Arizona, Nevada, Hawaii, and the Pacific Territories. David and his immediate staff are focused on external and intergovernmental affairs for the San Francisco region that serves over 14 million Medicare, Medicaid, and Children’s Health Insurance Program beneficiaries.

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  • CMS mission – as an effective steward of public funds, CMS is committed to strengthening and modernizing the nation’s health care system to provide access to high quality care and improved health at lower cost. <br /> <br /> CMS vision of future success is a high quality health care system that ensures better care, access to coverage and improved health.
  • Medicare per capita spending growth is declining.  <br /> If the decline was only due to the economy, we would expect to see a decline in Part B spending, which is the more discretionary care for beneficiaries, however Part B spending is relatively flat, with declines in Part A spending.  <br /> <br /> We have seen a similar trend in Medicaid, in 2011, per enrollee spending actually went down .7% and in 2012 it increased by just 1.3% <br />
  • Per PC 2/26/14: Actually below 17.5% and headed toward 17.0% And this isn’t because of an increase in observation admissions. Those are up slightly but not nearly enough to account for this drop. In fact, overall admissions are down as well as readmissions.

Connected Health, Policy, and Payments - David Sayen, Centers for Medicare & Medicaid Services - WLSA Convergence Summit 2014 Connected Health, Policy, and Payments - David Sayen, Centers for Medicare & Medicaid Services - WLSA Convergence Summit 2014 Presentation Transcript

  • WLSA CONVERGENCE SUMMIT DAVID SAYEN CENTERS FOR MEDICARE AND MEDICAID SERVICES CONNECTED HEALTH, POLICY, AND PAYMENTS
  • OUR STRATEGIC GOALS
  • 4
  • Medicare Per Capita Spending Growth at Historic Lows Source: CMS Office of the Actuary 9.24% 5.99% 4.63% 7.64% 7.16% *27.59% 1.98% 4.91% 4.15% 1.36% 2.25% 1.13% 0.35% 0% 1% 2% 3% 4% 5% 6% 7% 8% 9% 10% 11% 12% 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Medicare Per Capita Growth Medical CPI Growth *Medicare Part D prescription drug benefit implementation, Jan 2006
  • Medicare FFS 30-Day All-Cause Readmission Rate, January 2010-May 2013 (all hospitals)