A recent RAND report cited Al Dobson's and Joan DaVanzo's 2006 cost-shifting article’s conclusion to support the theory that as Medicare underpays hospitals, patients insured privately are charged higher so that hospitals can stay afloat.
The Medicare Payment and Advisory Commission (MedPAC) has cited the Dobson | DaVanzo evaluation of Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs) (funded by NAACOS) in its June 2019 report.
Dobson | DaVanzo has joined the national effort in determining the real costs associated with the opioid epidemic.
The Center for Medicare and Medicaid Services (CMS) recently proposed changes in the way Medicare payments for inpatient hospital visits are made through changing wage index calculations. In the proposed 2019 notice of public rulemaking (NPRM), CMS proposes two solutions to address th Medicare national standardized payments to account for differences in market area labor costs across the country. This blog discusses the implications of the NPRM for hospitals in rural areas.
Last August CMS provided a one-time retroactive opportunity to withdraw in total from the BPCI Advanced program or withdraw selected clinical episodes by March 1, 2019. This grace period allowed participants to “test the waters” between October 2018 and February 2019 before making a final decision. Participants that retroactively withdraw in total or for select clinical episodes are not held accountable for those episodes, meaning that any losses incurred relative to the established target prices will not be charged to the bundler.