In early October, Al Dobson gave a presentation to the AHA Post-Acute Care Steering Committee, entitled “Pressures on LTCH and IRF Utilization under Value-Based Purchasing”.
Please click here to read presentation.
Randall Haught and Al Dobson presented an alternative post-acute care payment model to MedPAC staff on October 5, 2015.
In September, Al Dobson gave a presentation entitled “Value-Based Purchasing: A More Efficient Health Care System Through ‘Creative Destruction’”, to the Allied Hospital Associations at the A2HA 2015 Fall Meeting in Baltimore.
Please click here to read presentation.
In September, Greg Berger, along with co-author David Introcaso, wrote a HealthAffairs Blog entitled “MSSP Year Two: Medicare ACOs Show Muted Success”.
Click here to read the blog.
On September 15, Joan DaVanzo presented to AAMC CMMI CORE Steering Committee on Health Care Innovation Challenge Award Year 1 progress on payment model development for eConsult. Her presentation was entitled, “Developing the Sustainable Payment Model & Engaging Commercial Payers”.
To see this presentation, please click here.
While providing technical assistance to CMS, Dobson | DaVanzo conducted analyses on the impact of Medicare DSH payments for FY 2016 Final Rule by hospital characteristic. Dobson | DaVanzo analyzed the Medicare Cost Report to determine the change in estimated DSH payments for eligible hospitals by hospital characteristic from FY 2015 to FY 2016. Dobson | DaVanzo also analyzed and prepared responses to public comments related to Medicare DSH payments under Section 3133.
Dobson | DaVanzo conducted a RUC-like survey to determine the appropriate work and practice expense inputs for providing superficial radiation therapy (SRT). The analyses and model spreadsheets that re-engineered the Medicare payment with alternate input assumptions were shared with CMS and were used to inform CMS’ proposed payment rates included in the FY 2016 Medicare Physician Fee Schedule NPRM. Consistent with Dobson | DaVanzo’s analysis, CMS proposed to adjust the equipment inputs and is seeking further stakeholder comment on increasing physician work and other practice expense inputs.
In concert with Dixon Hughes Goodman Healthcare, produced “Bundled Payment Analytic Tools, BPCI Monthly Manager”, powered by Dobson | DaVanzo, which was released early this summer.
Dobson DaVanzo & Associates was commissioned by 340B Health to determine the extent to which disproportionate share (DSH) hospitals enrolled in the 340B drug pricing program focus their services on vulnerable patient populations. Under the 340B program, safety-net hospitals and other health care providers that serve the poor in large numbers can buy prescription drugs for less. Congress intended for them to use the savings to stretch scarce resources and provide more services to more patients. We found that:
• As a percentage of total patient care costs, 340B DSH hospitals provide nearly twice as much care as non-340B hospitals – 41.9 percent versus 22.8 percent – to Medicaid beneficiaries and low-income Medicare patients.
• 340B hospitals provide nearly 30 percent more uncompensated care than non-340B hospitals – $24.6 billion to $17.5 billion. Although 340B hospitals accounted for only 35 percent of all hospitals included in the analysis, 340B hospitals provided 58 percent of all uncompensated care. In addition, when taking hospital size into account and looking at uncompensated care as a percent of total patient care costs, 340B hospitals across all hospital sizes provided consistently high levels of uncompensated care.
• A higher percentage of 340B DSH hospitals provide public health and specialized services – many of which are unprofitable but essential to their communities – than non-340B hospitals.
“Three metrics have been used in the literature to describe safety-net hospitals: 1) provision of services to vulnerable populations, 2) a disproportionate amount of uncompensated care, and 3) type of care provided,” said author Joan DaVanzo. “Our analyses found that DSH hospitals participating in the 340B program surpass non-340B hospitals on all three criteria, regardless of size.”
Click here to read the report.
To learn more, please visit 340B Health at http://www.340bhealth.org/
Al Dobson and Joan DaVanzo attended the PHI 2015 Conference, "Bridging The Continuum of Care: Hospital & Post-Acute Care Integration", at the Mayflower Hotel, Washington, DC. Dr. Dobson also chaired a session entitled, "New Approaches for Discharging Hospital Patients to Post-Acute Care".
Dobson | DaVanzo is proud to announce that we will celebrate our eighth anniversary on May 15th. Over the past eight years, the firm has expanded to a seasoned staff of fifteen full-time employees, and continues to grow. We have also had the opportunity to develop relationships with wonderful new clients, and have deepened our relationships with existing clients. Over the past year, we have been extensively involved in accountable care organizations (ACO) and bundling analytics, and are currently providing monthly reports to a variety of Centers for Medicare & Medicaid Services (CMS) bundling partners. We have also expanded our government contracting work.
We look forward to continued interesting and challenging projects as the healthcare marketplace continues to explore how to more efficiently provide higher quality health care.
Al Dobson gave a presentation , "Evaluating Shared Savings Payment Policies and Promoting Data-Driven Decision-Making in the Medicare MSSP ACO Program", at the National Association of Accountable Care Organizations (NAACOS) Spring Conference, in Baltimore on April 2, 2015.
To view the presentation, please click here.
Today Dobson | DaVanzo released a study that estimates the potential Medicare savings for deferring provider payments for RAC appeals until after Administrative Law Judge (ALJ) hearing determination (Level 3). Due to significant delays in the ALJ process, requests for hearings often take around 30 months until review and determination is received, resulting in significant interest payments for CMS when reimbursing providers for successful appeals. The study analyzed data from the Office of Medicare Hearing and Appeals (OMHA) and testimony from a Chief ALJ Judge to estimate the Medicare savings for avoided interest payments under this policy. This study focuses on the savings for RAC audits for O&P services, as well as all Medicare Part B services associated with RAC Level 3 audits.
Click here to read the report.
National Association of Psychiatric Health Systems (NAPHS) commissioned Dobson | DaVanzo to define the substance use disorder population and to appraise existing policies regarding the coverage, funding, and delivery of addiction treatment. The report, "Addiction Treatment Today and Tomorrow: Implications and Policy Recommendations" notes that transformative policies (namely, the federal Mental Health Parity and Addiction Equity Act (MHPAEA) and the Affordable Care Act (ACA) have sought to improve patient access to treatment by reforming prior insurance coverage restrictions. Yet significant coverage gaps persist. The full report, along with the Dobson | DaVanzo two-page Executive Summary, is available at www.naphs.org.
On March 4, 2015, Al Dobson gave a presentation at the Select Medical CEO and Medical Director Conference in Coral Gables, Florida. His presenatation, "Market Place Considerations for Inpatient Rehabilitation Facilities Under Medicare Bundled Payment for Care Improvement (BPCI)", can be viewed by clicking here.