Impact of CMS Regulations and Reimbursement Models

Impact of CMS Regulations and Reimbursement Models
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 Reimbursement Models”.

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 one example 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 Hands Hospital.
Be sure to include at least three reference sources and cite them using APA formatting.

 

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