For this assignment, write a 2-page report, not including the
title page and reference page, NO PLAGARISMRead the scenario that you will use for the Individual Projects
in each week of the course. The Centers for Medicare and Medicaid Services
(CMS) has taken on a more visible role in health care delivery. Many changes
have transpired to improve patient safety along with the implementation of
additional quality metrics, and these changes impact reimbursement rates.
Likewise, the Patient Protection and Affordable Care Act has
changed the reimbursement fee structure of Medicare and Medicaid reimbursement
for health care services. Other legislation including the HITECH Act and
the Medicare Authorization and CHIP Reactivation Act of 2015 (MACRA) all impact
how healthcare organizations receive reimbursement and demonstrate use of data
to improve quality and delivery of patient care.
Mr. Magone, CEO of Healing Hands Hospital, has asked you to join
the Future of Healing Hands Task Force, and your first assignment is to work
with the Hospital Chief Financial Officer, Mr. Johnson, and provide a summary
of the current regulations regarding Medicare reimbursement including how MACRA
will impact reimbursement if/when Healing Hands coordinates delivery of
services by affiliating with physician practices.
For this assignment, write a 2-page
report, not including the title page and reference page, on how the new CMS initiatives and regulations will impact the
organization’s revenue structure. This is Section 1 of your report to the Task
Force. This first section should be titled Impact of CMS Regulations and
How does CMS
impact the reimbursement model for Healing Hands Hospital and other health
care organizations? If CMS reimbursement regulations for Medicare and
Medicaid change, does it follow that other insurance providers change
their policies on reimbursement?
The CMS website on
Innovation Models provides examples of healthcare payment and service
delivery models designed to increase quality of care while reducing
costs. Choose two examples of ongoing or planned models for
Accountable Care Organizations or Episode-Based Payment Initiatives and
explain how participation in the models would be beneficial to Healing
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