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Reducing Unnecessary Emergency Department Visits
To proactively address the issue of unnecessary ED utilization, a practice can take steps ... component to reduce unnecessary ED and hospital stays. Preventing unnecessary ED utilization is not limited to primary care; specialists also play ... and following up after every ED visit with a phone call, home or office visit.
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TOP PERFORMERS - sorted by region, then score …
innovation.cms.govTOP PERFORMERS - sorted by region, then score within state . ... Abt Associates Inc. Page 1 of 21 4/29/10 ; ... Connecticut VNA Partners, Inc. East Hartford . CT ; 1 ...
Evaluation of the Comprehensive Primary Care …
innovation.cms.govCenters for Medicare & Medicaid Services 7500 Security Blvd. Baltimore, MD 21244-1850 . ... All-day learning sessions were well attended and well received by
Next Generation ACO Model - Home | Center for …
innovation.cms.gov• Eliminate the requirement of a 3-day inpatient stay prior to SNF ... //www.cms.gov/Outreach-and-Education/Medicare-Learning- ... Next Generation ACO Model Webpage:
General Model Questions
innovation.cms.govFrequently Asked Questions. General Model Questions. 1. ... were asked questions specifi c to their proposed implementation of these benefit enhancements, but
Model Overview - Center for Medicare and Medicaid Innovation
innovation.cms.govModel Overview Timeline. Who Can Participate. Advanced Alternative Payment Model Criteria. Defining the Clinical Episode. Payment and Pricing Methodology. How to Apply. Webcast Outline . BPCI Advanced Model Overview • Voluntary bundled payment model • Single payment and risk track with a
Guidelines - innovation.cms.gov
innovation.cms.govGuidelines The following is a list of proposed medical specialty guidelines that have been found for the 11 targeted procedures to be included in the Medicare Imaging Demonstration. The list includes ... Appropriate Use Criteria for Cardiac Radionuclide Imaging (2009)
The Medicare Shared Savings Program - Home | Center for ...
innovation.cms.govThe Medicare Shared Savings Program ... Start date Agreement for 3 years with uniform annual start date; performance years based on calendar years. Program established by January 1, 2012; first round of applications are due in early 2012. First ACO agreements start April 1,
BPCI Advanced Target Price Specifications Model Years 1 and 2
innovation.cms.govTarget Price Specifications Model Years 1 and 2 . Centers for Medicare & Medicaid Services (CMS) Center for Medicare & Medicaid Innovation (Innovation Center)
Quality Measures Fact Sheet - CMS Innovation Center
innovation.cms.govAug 23, 2018 · Quality Measures Fact Sheet CMS Patient Safety Indicators PSI 90 (NQF #0531) National Quality Strategy Domain: Patient Safety BPCI Advanced and Quality The Center for Medicare & Medicaid Innovation’s (the CMS Innovation Center’s) BPCI Advanced Model rewards health care providers for delivering services more efficiently, supports enhanced care
The AHC Health-Related Social Needs Screening Tool
innovation.cms.gov8. How often does anyone, including family and friends, insult or talk down to you? Never (1) Rarely (2) Sometimes (3) Fairly often (4) Frequently (5) 9. How often does anyone, including family and friends, threaten you with harm? Never (1) Rarely (2) Sometimes (3) Fairly often (4) Frequently (5) 10.
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HAT ARE THE BENEFITS - California Department of Industrial ...
www.dir.ca.govDoctor visits, hospital services, physical therapy, lab tests and x-rays are ... you may receive up to $10,000 in employer-paid medical care until your claimis ... Compensation’s Medical Treatment Utilization Schedule, or if your employer has authorized additional visits in writing. W.
General Telemedicine Toolkit - Centers for Medicare ...
www.cms.govUnder this new waiver, Medicare can pay for office, hospital, and other visits furnished via telehealth across the country and including in patient’s places of residence starting March 6, 2020. A range of providers, such as doctors, nurse practitioners, clinical psychologists, and licensed clinical social workers,
The Utilization Threshold Program - eMedNY
www.emedny.orgUtilization Threshold Program 1 02-09-2015 . The Utilization Threshold Program. In order to contain costs while continuing to provide medically necessary care and services, the Utilization Threshold (UT) program places limits on the number of services a Medicaid member may receive in a benefit year. A benefit year is a 12-month period
Maternity Care Performance Measurement Set
www.ahrq.govcommonly used measures focus on access to visits without considering the content of prenatal and postpartum care. Second, current measures address women’s cancers and sexually transmitted diseases, but not the full range of preventive needs, particularly related to depression and substance use.