Health Care Reform: Payment and Qualiy

Health Care Reform: Payment and Quality Karin Bierstein, JD, MPH Vice President for Strategic Planning & Practice Affairs, Anesthesia Business Consultants, LLC A Seminar on Business Management and Compliance Issues for Anesthesiologists Birmingham, Michigan April 21, 2010

Objectives ,[object Object],[object Object],[object Object]

Question. Does health care reform fix the 21.3% physician payment cut? ,[object Object],[object Object]

21.3% Payment Cut – Postponed Again ,[object Object],[object Object],[object Object],[object Object]

We Still Need a Permanent SGR Fix Enough said. It isn’t in the Health Care Reform law.

Disclaimer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

How the PPACA Became Law ,[object Object],[object Object],[object Object],[object Object],[object Object]

Patient Protection and Affordable Care Act (PPACA) – PAYMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hospitals will see cuts: ,[object Object],[object Object],[object Object],[object Object]

PPACA Payment - IPAB ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Payment - Quality Incentives for Professionals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Bundled Payments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Expanded Coverage for All ,[object Object],[object Object],[object Object],[object Object],[object Object]

PPACA – Health Insurance Reforms ,[object Object],[object Object],[object Object],[object Object],[object Object]

PPACA – Health Insurance Reforms Cont’d ,[object Object],[object Object],[object Object],[object Object]

Health Insurance Exchanges & “Fiction Fatigue” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The Anesthesia Quality Institute (AQI) ,[object Object],[object Object],[object Object]

AQI Cont’d ,[object Object],[object Object],[object Object]

NACOR Data Sources National Anesthesia Clinical Outcomes Registry Processing Anesthesia Practice Hospital Electronic Data Anesthesia Information Management Systems Billing Records Paper Anesthesia Records QM Data Collection

Question. Which item will the NACOR not collect? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Outcome measures from ASA Committee on Performance and Outcomes Measurement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Outcome Measures Cont’d ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Value of NACOR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Health Care Reform: Payment and Qualiy

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