Harmony Healthcare Blog

Accountable Care Organizations Update:  ACOs and Medicaid

Posted by Melissa Fox on Wed, Nov 23, 2016


Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency

Across the country, states are exploring the viability of Medicaid Accountable Care Organizations that align the provider and payer incentive to focus on value instead of volume.  The Center for Medicare and Medicaid Services is currently aligning partnerships in order to identify a collaborative approach to providing better care at an efficient cost.  During the harmony16 LTPAC Symposium, Harmony Healthcare International (HHI) presented on the upcoming changes to CMS initiatives with Medicaid Beneficiaries.  The following topics were discussed:

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Topics: ACOs, Accountable Care Organizations, Medicaid

Data, Data, Data - You Cannot Make Bricks Without Clay

Posted by Kris Mastrangelo on Mon, Aug 12, 2013

Uncertainty.  That is the word that best defines our country at the present time.  The Supreme Court upheld Obamacare in June 2012, which again magnifies the significance of healthcare decisions for providers. Think about it.  This decision continues to impact every organization, employer, employee, i.e., person in the United States.  This impacts one of the largest sectors of the world’s largest economy.  

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Topics: CMS, MDS, ACOs

SNF Denial Management

Posted by Peter Mastrangelo on Fri, Jul 27, 2012

Surely you have heard that there are “denials” now in the skilled care world, but do you know what this means?  There are more and more auditing agencies popping up everyday, from ACO to ZPIC, and the acronyms can make your head spin.  Has your facility helped to keep your rehab team informed on what types of audits are present in the current climate?  Or have you been doing your own research to stay afloat?  What kind of tools do you feel you need to better understand the world of “denials”?

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Topics: SNF, Therapy, Denial Management, ACOs

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