Medicare Spending Per Beneficiary

 The VNAA Blueprint for Excellence focusing on clinical quality improvement rather than cost control.  That said, home health organizations seek to contribute to national goals outlined in the CMS Quality Strategy for better care, smarter spending, and healthier people. The IMPACT Act and value-based purchasing initiatives both drive towards this goal, by linking quality measures and payment.


The Medicare Spending Per Beneficiary IMPACT Act measure will be calculated by CMS using claims data for Medicare spending. VNAA encourages members to understand how the measure will be calculated. Hospital readmissions and unnecessary emergency care are high cost events considered preventable by CMS.  By focusing home health interventions on preventing unnecessary health care utilization, maximizing patient quality of life and improving patient experience, home health agencies will also be contributing to better performance on the MSPB measure.  


VNAA encourages members to review resources available throughout the Blueprint to drive value and better patient outcomes.  


About the Measure


Draft Specifications for the Medicare Spending Per Beneficiary – Post-Acute Care (MSPB-PAC) Resource Use Measures,  (this is the draft measure provided for Public Comment in January, 2016.  


Visit the CMS Quality Measures Page for the most up to date description of the measure.)


Clinical Interventions


VNAA Blueprint for Excellence Preventing Readmissions Module


VNAA Blueprint for Excellence 5-Star Best Practices - Interventions page


Value Base Purchasing

 



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