Heart attacks and hip fractures Medicare practices may change as the system wants to change its payment methods related to such threatening and dangerous conditions.
Both heart attacks and hip fractures are a cause of great concern. The risks of facing one or both such problems increase with age. As it is, Medicare plans to alleviate some of these concerns and sufferings.
Starting with this year, Medicare plans to introduce some changes to its practices. It will target a treatment payment change for such issues. It will also be trying to promote its quality whilst also containing its costs.
As such, this could lead to a new approach in the hip fractures and heart attacks practices.
The new program will be rolled out on a large-scale experiment. It will focus on the traditional Medicare pack. This latter is still the reported choice of every 7 out of 10 beneficiaries. Medicare has an approximate number of 57 million beneficiaries.
The new experiment will involve two area. Its cardiac experiment section will involve both heart attack and bypass patients.
Its hip area involves both hip and knee replacement surgeries and therapy. It will also target cancer patient care for those undergoing chemotherapy.
The division to carry out the experiment will be the Center for Medicare & Medicaid Innovation. Its large-scale new program will work as follows.
The involved members will receive the regular Medicare rates. Members will include hospitals, rehab centers, and doctors.
Hospital services will be given responsibility in relation to the overall cost and quality of its services. These will be compared to a series of benchmarks, determined by Medicare.
If a hospital meets or even surpasses these goals, it may earn a bonus. This financial bonus will also be shareable with various other service providers.
However, hospitals may face consequences if they do not meet the goals. As such, they could potentially have to pay money to the government.
Patrick Conway, the Innovation Center Director, went to explain. “Delivery system reform and paying for better care are bipartisan issues.” He also maintained that service quality is ahead of cost savings when evaluating results.
The current Medicare system releases a series of advice upon discharge. As such, it should ask heart attacks patients to follow up with their primary care doctors.
This new program should reportedly ensure the hospital’s enforcing the advice. Conway stated as follows. “In this model, the hospital is going to have a strong incentive to make sure you follow up.”
As it is, the large-scale experiment will be carried in over 90 areas. The new Medicare cardiac experiment will target 98 metro areas. Its hip surgery program will involve 67 such regions.
The respective metro areas are also part of another test. Medicare has an ongoing test which targets knee and hip replacements.
Boston, Utica, Fort Collins, Yuma, and Akron are amongst the areas targeted by the cardiac experiment. A related experiment will also be rolled out in a smaller communities group. This will pay the involved hospitals to coordinate the rehab care for its heart attacks and bypasses patients.
Some groups have already expressed concern over Medicare’s new program. Such groups include the AARP or the former American Association of Retired Persons.
They expressed worry over the possibility of Medicare’s moving too fast. Other fear that the cost containment practices may affect the doctor-patient relation.
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