Hospitals

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Agenda • Introduction • Data Trends for Teaching <strong>Hospitals</strong> • Hospital Margins • Resident Caps and Counts • Medicare Payment Analyses • Readmissions • Value-Based Purchasing – Medicare Spend Per Beneficiary • HOPD E/M Payment • Payment Bundling • Upcoming Projects • Costs of IME 2012 AAMC Annual Meeting
AAMC Health Care Affairs • Supports the clinical mission of academic medicine • Governmental policy, regulatory, operational, and educational activities affecting clinical care and graduate medical education (GME) issues • AAMC constituency groups • Council of Teaching <strong>Hospitals</strong> and Health Systems (COTH) • Group on Faculty Practice (GFP) • Group on Resident Affairs (GRA) • Chief Medical Officers Group (CMOG) • Compliance Officers Forum (COF) 2012 AAMC Annual Meeting
Page 1: State of the Academic Clinical Ente
Page 5 and 6: DataTrends: Hospital Margins 2012 A
Page 7 and 8: Hospital Total All-Payer Margins, b
Page 9 and 10: COTH Characteristics Short-Term, Ge
Page 11 and 12: COTH Quarterly Survey Results 2009-
Page 13 and 14: Medicare Resident Limits: Mandated
Page 15 and 16: Resident Limit Redistributions ACA
Page 17 and 18: Sec. 5506 Slots by Teaching Status
Page 19 and 20: Sec. 5506 DGME Slots by State - Fir
Page 21 and 22: 2012 AAMC Annual Meeting Readmissio
Page 23 and 24: Concern with Risk Adjustment • Ri
Page 25 and 26: Readmission Rates are Higher for Du
Page 27 and 28: Approach: Model Specification and S
Page 29 and 30: Readmission Program Impact on COTH
Page 31 and 32: Value-Based Purchasing (VBP) • Mo
Page 33 and 34: How is the VBP Money Moving? Major,
Page 35 and 36: Medicare Spending Per Beneficiary (
Page 37 and 38: Exclusions •IME and DSH payments
Page 39 and 40: MSPB National Distribution 50% Medi
Page 41 and 42: MSPB - Where Spending Occurs Breakd
Page 43 and 44: Physician Payments at HOPD For many
Page 45 and 46: MedPAC Proposal 99213 - Midlevel Es
Page 47 and 48: Study AAMC contracted with The Mora
Page 49 and 50: Distribution of Medicare E/M Visits
Page 51 and 52: Major Teaching Hospitals Serve Prop
Page 53 and 54:
High Level Findings • Proposed
Page 55 and 56:
What is a bundled payment? • New
Page 57 and 58:
AHA-AAMC Bundling Analysis Key Ques
Page 59 and 60:
Defining the Bundle Characteristics
Page 61 and 62:
Pricing the Bundle Add-on payments
Page 63 and 64:
Pricing the Bundle: Add-on Payments
Page 65 and 66:
Pricing the Bundle: Patient and Hos
Page 67 and 68:
Managing the Bundle: Readmissions s
Page 69 and 70:
Managing the Bundle: Percent of Rea
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Key Findings • Bundling is here
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Bundled Payments for Care Improveme
Page 75 and 76:
AAMC Applicant Organizations • Al
Page 77 and 78:
Brandeis Data Analysis Total allowe
Page 79 and 80:
BPCI Lessons Learned To Date • AM
Page 81:
Questions??? Additional information
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Hospitals

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