The intersection of industry trends and practical application
There’s no denying that the healthcare industry is changing rapidly. Keeping tabs on these changes and their impact on the post-acute and long-term care is where the PointRight blog comes to life! With contributions from PointRight leadership, clinical experts and guest bloggers, you’ll find valuable and thought-provoking insight that will help you stay ahead of the curve.
Since the CMS Final Rule announcing the Patient-Driven Payment Model (PDPM) was released, there has been much speculation among SNF providers and industry experts about what compliance will look like under the new reimbursement system. Under RUG-IV, compliance primarily depends on one key metric: medical necessity for therapy services. Due to the high percentage … Continue reading The Changing Tides of Compliance Under PDPM→
CMS is “thawing out” the freeze on Five-Star Ratings effective April 2019. We were all expecting the thaw this spring, and CMS doesn’t disappoint! Remember that spring showers bring May flowers, and for some of you, “flowers” will take the form of an improvement in your Five-Star Rating. CMS did more than just … Continue reading The Big Thaw: Five-Star Update→
December 2018 marked Five Star’s ten-year “birthday.” When you read its birth certificate, you’ll see its given name is: “Five-Star Quality Rating System,” though interestingly enough, the only direct measures of quality (the CMS quality measures) carry the least weight. Over the last ten years Five-Star has certainly matured considerably and if you believe it … Continue reading Five-Star’s Early Adolescence and the Growing Pains that Go Along with It→
If it seems that hospitals have been focused on readmission rates for years, they have. Starting in fiscal year 2013, hospitals have been penalized for readmission rates for Medicare beneficiaries with certain diagnoses. Those penalties have been increasing with each year until the penalty cap of 3% was reached. Progress has been made, though, with … Continue reading Readmissions, Care Transitions, and Value-based Programs→
Thank you PointRight clients, partners and friends for a great 2018. It’s been quite a year for our industry to say the least. Wild fires in California turned hero care-givers into hero rescuers, CMS’ continued its commitment to value-based reimbursement with the announcement of PDPM and Five Star turned 10. Looking to 2019, PointRight … Continue reading CEO Steven Scott Looks Ahead to 2019 – PDPM & More→
We are celebrating Five-Star’s 10th year birthday this December 2018. Over the last ten years, Five-Star has certainly matured considerably, and if you believe it measures quality, then you also must accept that nursing home quality has also improved. [We at PointRight believe that quality has improved but choose other ways to validate the … Continue reading “Happy Birthday Dear Five-Star, Happy Birthday to You!”→