Dobson | DaVanzo and KNG Health Consulting LLC were commissioned to provide technical assistance to the Centers for Medicare & Medicaid Services (CMS) as it implements a revised Medicare Inpatient Prospective Payment System (IPPS) disproportionate share hospital (DSH) payment policy as called for in Section 3133 of the Affordable Care Act of 2010 (ACA). In doing so, the Team prepared summary analytic reports and data analyses to inform the development of the FY 2014 Notice of Proposed Rulemaking (NPRM).
Click on the following links to access the reports used to inform CMS’ Proposed Rule and to assist with public comment.
Dr. Dobson presented to the Kentucky chapter of Healthcare Financial Management Association (HFMA) at the Winter Institute held in Louisville, Kentucky. Dr. Dobson presented findings from the American Hospital Association (AHA) and the Association of American Medical Colleges (AAMC) commissioned study to conduct quantitative analyses of a set of episode-based payment bundles. The purpose of this study was to highlight considerations for policymakers and providers using descriptive statistics and multivariate regression analyses. Dr. Dobson also discussed key issues for bundling in practice and showed supporting Medicare claims data illustrating how to appropriately define, price, and manage the bundle.
Dr. Al Dobson delivered a presentation entitled “Improvements to Medicare Disproportionate Share Hospital (DSH) Payments: National Provider Call” during a CMS National Provider Call. The purpose of the Call was to solicit public comment to inform the implementation of Section 3133 of the Affordable Care Act (ACA) as it relates to definitions and measures of the uninsured and uncompensated care. Approximately 1,300 stakeholders joined the call.
To view the presentation, click here.
The Missouri Hospital Association and Missouri Foundation for Health released a report on November 28th entitled “The Enrollment and Economic Impacts of Medicaid Expansion on Missouri.”
Dobson | DaVanzo was commissioned, along with the Department of Health Management and Informatics (HMI) at the University of Missouri School of Medicine, to determine the potential economic impacts if the state participates in Medicaid expansion under the Affordable Care Act. Two simulation models were developed based on the Impact Analysis for Planning (IMPLAN) model building software to estimate: (1) increased enrollment in and direct federal and state expenditures on Medicaid, and (2) the value-added economic and tax impact on the state’s economy, as well as private employer health insurance premiums.To view the full report, click here. To view the executive summary, click here.
At the 1st National Dual Eligibles Summit, Dr. Al Dobson delivered a presentation entitled “Can Medicare Acute and Post-Acute Care Payment Bundles Improve Care for Dual Eligibles?” In the presentation, Dr. Dobson argued that Medicare acute and post-acute care payment bundling is a sensible, near-term policy approach to payment reform for dual eligibles. Payment bundling could address misaligned provider incentives under siloed prospective payment systems and the lack of care coordination faced by the vast majority of dual eligibles in fee-for-service. The presentation was based on a research study funded by The Commonwealth Fund.For more information about the National Dual Eligibles Summit, click here.
The American Hospital Association (AHA) and the Association of American Medical Colleges (AAMC) released a report written by Dobson | DaVanzo analyzing a series of episode-based payment bundles. Using beneficiary-level Medicare claims files for a five percent sample of beneficiaries over a three-year span, Dobson | DaVanzo identified a number of important considerations for hospitals for bundled payment policy based on descriptive statistics and multivariate regression analyses.
The report concluded that in order to promote Medicare payment bundling as a nationwide, population-based model, policymakers will need to design a complete framework that carefully considers the options for defining and pricing bundles, with adequate safeguards to protect the quality of patient care and the financial stability of providers. It will likely be necessary to determine the cost to providers of delivering care within an episode, rather than use the current Medicare payment levels to predict payment.To view the issue brief and full report, click here.
Dr. Dobson addressed the Maine Primary Care Association on October 25th at the Annual Conference entitled “Health Reform Ready: Community Health Centers as Assets, Allies & Innovators.” Dr. Dobson presented on “The Potential Role of Health Centers in CMS Payment Bundling Systems of the Future.”
Dr. Dobson remarked that community health centers could have an impact on bundle expenditures if they can improve the continuity of care and become part of the “deal flow.” He emphasized the need to work with hospitals and physicians to ensure care is minimized for high risk patient populations during a bundle time frame.
To view the full presentation, click here.
Dobson | DaVanzo released its final report for the Clinically Appropriate and Cost Effective Placement (CACEP) Project: Improving Health Care Quality and Efficiency on behalf of the Alliance for Home Health Quality and Innovation (AHHQI). The CACEP Project examines how the Medicare post-acute care benefit currently serves seniors. The final report presents models for the use of clinically appropriate and cost effective post-acute care and potential Medicare savings achieved under delivery system change scenarios. The final report has received coverage in numerous publications, including BNA, Healthcare Finance News, Inside Health Policy, MedPage Today, Modern Healthcare and PhysBizTech.
Audrey El-Gamil addressed the Home Care & Hospice Alliance of Maine in Freeport, Maine on September 13th. Ms. El-Gamil presented on Clinically Appropriate and Cost-Effective Placement (CACEP) Project findings in a presentation entitled “Use of Home Health Care Services to Transform Health Care Delivery.”
President Al Dobson will be featured in a panel discussion moderated by The Honorable Billy Tauzin, Former Chairman of the Energy and Commerce Committee, at the National Press Club on October 10 from 9:00 to 10:30 a.m. To register, click here.
Dobson | DaVanzo staff have briefed numerous Congressional staffers and government stakeholders in preparation for the release of its final report of the Clinically Appropriate and Cost Effective Placement (CACEP) Project: Improving Health Care Quality and Efficiency. The CACEP Project examines how the Medicare post-acute care benefit currently serves seniors. The final report presents models for the use of clinically appropriate and cost effective post-acute care and potential Medicare savings achieved under delivery system change scenarios.
Steven Heath, Research and Data Analytics Manager at Dobson|DaVanzo, was invited to address the Florida Association of Community Health Centers in July. He reported on the results of a study done for Washington State entitled, “The Economic and Clinical Impact of Community Health Centers: Contributions to Public Health and Economic Implications and Benefits for the State and Counties.”
Al Dobson addressed the 12th Annual Gulf Coast Home Care Conference in Point Clear, Alabama, on August 2nd. He presented the Closing Session based on a 4-paper home health series entitled, “Post Acute Bundling: Clinically Appropriate and Cost Effective Placement.” Following his presentation, Dr. Dobson also facilitated a discussion over lunch with board members from the Alabama, Louisiana and Mississippi home care associations.
Audrey El-Gamil, Senior Associate at Dobson | DaVanzo, presented findings from the CACEP Working Paper Series at the AcademyHealth 2012 Annual Research Meeting in Orlando, Florida.
Dobson | DaVanzo Welcomes New Staff!
Nikolay Manolov, Ph.D., joined the firm in May 2012. Dr. Manolov was with The Lewin Group where he worked for sixteen years. Dr. Manolov specializes in Medicare and Medicaid claims data analysis, specifically building episodes of care in disease-cost and clinical outcome studies. He has worked extensively in Medicare payment, and has developed simulations of health care expenditures and benefits.
Kevin Reuter joined the firm in June 2012. Mr. Reuter brings experience in statistical analyses at the FDA. Mr. Reuter also worked as a medical assistant in a primary care practice. He recently graduated with his B.S. in Biology from the University of Maryland. For more information about our new staff, visit our About Us page.