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Device Standardization Is Key In Value-Based Purchasing Environment – AHA

This article was originally published in The Gray Sheet

Executive Summary

Device firms will need to further standardize their products as hospitals aim to meet new Medicare health care quality measures over the next few years, a hospital industry rep said April 25

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CMS value-based purchasing

CMS report to Congress on value-based purchasing, released Nov. 26, suggests setting aside 2%-5% of hospital inpatient payments to use as a financial incentive to reward hospitals that meet or show substantial improvement for 20 quality measures. Congress asked the agency to come up with the plan in time to implement changes for fiscal year 2009 (1"The Gray Sheet" April 30, 2007, p. 12). The report outlines a three-year phase-in, building upon current pay-for-reporting requirements. Proposed measures relate to process-of-care, outcomes and patient satisfaction for treatment of heart attack, heart failure, pneumonia and surgical infection prevention. Industry says it will closely watch how Congress acts on the report to ensure that any future incentive-based program does not interfere with patient access to care

CMS value-based purchasing

CMS report to Congress on value-based purchasing, released Nov. 26, suggests setting aside 2%-5% of hospital inpatient payments to use as a financial incentive to reward hospitals that meet or show substantial improvement for 20 quality measures. Congress asked the agency to come up with the plan in time to implement changes for fiscal year 2009 (1"The Gray Sheet" April 30, 2007, p. 12). The report outlines a three-year phase-in, building upon current pay-for-reporting requirements. Proposed measures relate to process-of-care, outcomes and patient satisfaction for treatment of heart attack, heart failure, pneumonia and surgical infection prevention. Industry says it will closely watch how Congress acts on the report to ensure that any future incentive-based program does not interfere with patient access to care

CMS outlines P4P

CMS 1paper on value-based purchasing, released March 23, describes options to transition the current inpatient pay-for-reporting system to a pay-for-performance system in FY 2009, as mandated by the Deficit Reduction Act of 2005. The agency plans to make a percent of hospital inpatient payment updates conditional on providers meeting performance measures for heart failure, myocardial infarction and pneumonia, among other conditions. CMS says the program will not incorporate additional funding beyond the annual update. The paper will be discussed during a public listening session April 12. Comments are due April 19...

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