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Financial
incentives
March 4, 2016 --
I believe that people who call for abolition of the
ACA would not do so if they knew what's in it.
So here's another little bit of ACA 101.
We all want better, cheaper healthcare.
The ACA drives improvements in quality and decreases in the cost of healthcare.
One of the mechanisms for accomplishing this is financial incentive.
The ACA has three specific financial incentive programs:
- Value based purchasing (VBP): outcomes, satisfaction, quality, safety metrics that
drive "booster" payments.
- Readmission reduction program (RRP): reduce 30-day all-cause readmissions for patients with
CHF, pneumonia, and other conditions that can best be treated at home.
This can be accomplished through coordination of care providers, patient education, and more.
- Hospital-acquired conditions (HAC): Medicare and various ACA programs no longer reimburse for
the curing of falls, air embolisms, urinary tract infections, central line-associated blood stream
infections, surgical site infections, and various others including MRSA,
CDI (Clostridium Difficile infxn).
These are all common sense, evidence-based measures to help change
healthcare in directions we all support.
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