How Geriatric Practices Can Bend The Cost Curve And Succeed With Geriatrics Billing Services?
The Centers for Medicare & Medicaid Services (CMS), have updated their compensation rules. This has put increased pressure on long-term/postacute care providers (LTPAC) to adopt value-based care models. These pressures and the COVID-19 pandemic challenges have increased the need for geriatric practices to adapt their business practices and technology in order to facilitate collaboration and coordination between payers, healthcare systems, and care facilities.
Two successful geriatric practices presented their strategies for building and maintaining a value-based infrastructure in LTPAC settings. Genevieve is a geriatric care management and medical practice based in Minnesota. Amanda Tufano MHA, FACHE. CMPE is the chief executive officer. Multiple value-based payer contracts are held by the organization for dual-eligible patients.
Michelle Coffey ACNS-BC RN, MSN is the chief clinical officer of Austin Geriatric Specialists. It is central Texas' largest geriatric-focused medical office. This organization cares for thousands of patients and follows them throughout the continuum from hospitalization to skilled nursing facilities to assisted living facilities to a successful transition home.
The presentation was focused on three areas of focus:
· Value-based care models are encouraged
· A company culture that discourages burnout
· Capitated payment models can be supported with the right technology.
Value-based care models are encouraged
Genevive sought better alignment with payers, provider partners and providers on financial and clinical goals. Genevive aimed to build closer partnerships with payers and providers, as Tufano pointed out that facilities require more than just "guests" in their buildings. Two new Institutional Special Needs Plans were developed (I-SNPs). These plans are designed to strengthen ties with facilities and create the infrastructure for financial and clinical incentives. Evaluation of existing networks. Explored ways to offer innovative care and encourage more facilities and people to join Genevive
Facilities share metrics and goals
Diversified ownership allows for the creation of additional value-driven contracts. Austin Geriatrics introduced value-based care in 2018 and Coffey says it is the largest area for continued growth. Participated in capitated models and risk sharing pools to encourage growth in assisted living, homecare and hospital-based settings.
Austin Geriatrics' care goals include deprescribing and reducing invasive testing, holistic health care, family involvement, advanced care planning, and family involvement. To support financial diversification for the practice, and to provide better care for patients, continue building relationships with value-based partners.
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Solution
s can assist you in
medical billing services for geriatrics for your practice. Our Geriatrics bil ...
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How Geriatric Practices Can Bend The Cost Curve And Succeed With G
1. How Geriatric Practices Can Bend The Cost Curve And Succeed
With Geriatrics Billing Services?
The Centers for Medicare & Medicaid Services (CMS), have
updated their compensation rules. This has put increased
pressure on long-term/postacute care providers (LTPAC) to
adopt value-based care models. These pressures and the
COVID-19 pandemic challenges have increased the need for
geriatric practices to adapt their business practices and
technology in order to facilitate collaboration and coordination
between payers, healthcare systems, and care facilities.
Two successful geriatric practices presented their strategies for
building and maintaining a value-based infrastructure in LTPAC
settings. Genevieve is a geriatric care management and medical
practice based in Minnesota. Amanda Tufano MHA, FACHE.
CMPE is the chief executive officer. Multiple value-based payer
contracts are held by the organization for dual-eligible patients.
Michelle Coffey ACNS-BC RN, MSN is the chief clinical
officer of Austin Geriatric Specialists. It is central Texas'
largest geriatric-focused medical office. This organization cares
for thousands of patients and follows them throughout the
continuum from hospitalization to skilled nursing facilities to
assisted living facilities to a successful transition home.
The presentation was focused on three areas of focus:
· Value-based care models are encouraged
· A company culture that discourages burnout
· Capitated payment models can be supported with the right
technology.
Value-based care models are encouraged
Genevive sought better alignment with payers, provider partners
and providers on financial and clinical goals. Genevive aimed to
build closer partnerships with payers and providers, as Tufano
pointed out that facilities require more than just "guests" in
their buildings. Two new Institutional Special Needs Plans were
developed (I-SNPs). These plans are designed to strengthen ties
2. with facilities and create the infrastructure for financial and
clinical incentives. Evaluation of existing networks. Explored
ways to offer innovative care and encourage more facilities and
people to join Genevive
Facilities share metrics and goals
Diversified ownership allows for the creation of additional
value-driven contracts. Austin Geriatrics introduced value-
based care in 2018 and Coffey says it is the largest area for
continued growth. Participated in capitated models and risk
sharing pools to encourage growth in assisted living, homecare
and hospital-based settings.
Austin Geriatrics' care goals include deprescribing and reducing
invasive testing, holistic health care, family involvement,
advanced care planning, and family involvement. To support
financial diversification for the practice, and to provide better
care for patients, continue building relationships with value-
based partners.
Medcare MSO Medical Billing Data
Solution
s can assist you in
medical billing services for geriatrics for your practice.
Our Geriatrics billers and coders will submit your claims
accurately and assist you in receiving accurate insurance
reimbursements. To know more about our Geriatrics billing and
coding services, contact us at [email protected]/ +1 800 640
6409
Prevention of burnout and company culture
3. Genevive's Tufano said that the requireme nt for providers to see
a certain number of patients per day can make providers view
their profession negatively. Instead of helping patients, they
feel pressured to meet quotas in return for their money.
Genevive's model can be customized to suit the preferences of
providers in order to keep incentives and values aligned.
Providers are paid based on how many patients they can manage
on a given panel size. If the practice is performing well, owners
and the entire practice share in a performance incentive pool.
Genevive believes that capitation should be treated with greater
ethics and the model places emphasis upon quality of care.
Austin Geriatrics is proactive in reducing burnout and staff
turnover. It also focuses on hiring providers who share its
mission.
Employees are provided with extensive training, which includes
practice to their highest licensure level. To ease the pressure on
team members and to reduce time constraints, create a dedicated
team for after-hours on-call. Providers can receive free
counseling and are encouraged to explore ways to increase
flexibility in scheduling to improve work/life harmony.
Technology and process strategy
· Genevive moved to mobile technology in 2019, after major
disruptions to client services caused by a winter snow storm.
These upgrades helped Genevive to be ready for the COVID-19
pandemic.
4. · Installed a new phone system compatible with iPad Wi Fi calls
· Changed to GEHRIMED. An electronic health record (EHR),
designed to work with iOS and iPads, was created specifically
for mobile practitioners
· Genevive was able to quickly bill and provide services for
telehealth, virtual care, and other related services when CMS
issued new rules for practitioners in 2020.
· Austin Geriatrics added third-party solutions to its EHR to
reduce the amount of documentation time. Coffey said that
managing multiple vendors was inefficient.
· Austin Geriatrics has switched to GEHRIMED because of the
features and processes that support how geriatricians work.
· Clinicians are supported by built-in functionality, including
standardized reports, advanced searches function, and CPT code
protection
· Dashboards that send out alert notifications about quality
measures are a support for value-based care models.
· Integrity features allow practitioners to stay in touch with
office support services and on-call services.
Value-based care models and risk-sharing payments agreements
will continue to be more common. CMS will continue making
changes to its compensation rules. LTPAC providers must look
ahead to ensure financial stability and adapt to new technology
and processes. This will result in stronger collaboration with
5. other providers, enhanced quality of care and financial stability.
You can watch the entire webinar here.