Page 114 - Clinical Managers Orientation Binder
P. 114
What is Happening?
• Reduce Cost of Care
• More Accountability
• Government is shifting responsibility to
payers/providers
– 25% of Medicare Beneficiaries take up 83% of Medicare
expenditures
– Chronically Ill
– Transitional Care
– Bundled Payments
– Accountable Care Organizations
–DSRIP
– Health Homes
15
What is Happening?
• Mandatory enrollment into MLTCs
• Movement Upstate
• Dual Eligibles
• Hospital Readmission Penalties
• Value Based Purchasing
• Case Rate
16
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