IHCA Bulletin - 07/06/2010  (Plain Text Version)

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In this issue:
Regulatory
•  Change in criminal background checks
•  New from CMS
•  Be prepared: Review flood disaster plans now!
Health Care Reform
•  Federal agencies issue "Grandfather" rule
•  Seek support for Medicaid Reform
•  Resources on Medicare bundling pilot program
•  Health insurance reform and consumer protection rule released
National News
•  AHCA this week
•  Driving for Quality Care RV Tour to make Iowa stop
Awards
•  Iowa recipients of AHCA/NCAL Quality Awards
•  Iowa CNAs shine at NAHCA annual convention
•  Your programs and people are winners! Nominate them today!
Health Information Technology
•  Watch for Iowa e-Health assessment in e-mail
Education
•  Don't be left in the dark on MDS and health care reform
•  Now's the time to get AL management certified
•  AHCA/NCAL convention early bird registration ends July 21
Resources
•  Free consumer education materials
•  Featured Associate Member

 

Resources on Medicare bundling pilot program

A national, voluntary pilot program on payment bundling would integrate care focused around a hospitalization in order to improve the coordination, quality, and efficiency of Medicare services. The bundling pilot program will provide challenges to SNFs and can also offer opportunities.

AHCA has posted on its Health Care Reform Resource Center an Analysis/Impact/Policy Memo on Medicare bundling. Section 3023 of the PPACA requires the Secretary of the Department of Health and Human Services (HHS) to establish a national, voluntary pilot program on payment bundling by January 1, 2013. The pilot would integrate care focused around a hospitalization in order to improve the coordination, quality, and efficiency of Medicare services.

SNFs have a legitimate concern as to the impact that bundling will have on long term care. The bundling pilot program will provide challenges to SNFs and can also offer opportunities. There are many unanswered questions about bundling and the complexity associated with a bundled payment is considerable.

The memo provides a brief summary of Section 3023 followed by a discussion of the impact of bundling on skilled nursing facilities (SNFs), and AHCA’s role in impacting and affecting the development of bundling and helping SNFs prepare for participation in the pilot. It also provides members with an explanation of the concept of bundling, an extended discussion of several of the key components of a “bundle,” other payment considerations, and the opportunities and risks presented to SNFs by bundling.