Tag Archives: CMS

Breaking Down Internal Silos

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As hospitals initiate new strategies to transition from fee-for- service to population health, many times the programs are established in a vacuum.  Managers in one are unaware of what the managers of another are working on – sound familiar.  That age old problem of “silo mentality”.  This may be due to a number of 
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6 Essential Differences Between Gainsharing and Shared Savings Programs

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With many approaches being considered by hospitals to engage physicians and align incentives we often get questions on the differences between shared savings and gainsharing.  We were excited when Becker’s Hospital CFO released on September 23, 2014 an article called “6 essential differences between gainsharing and shared savings programs” written by myself and AMS VP Anthony Stanowski.

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AHRQ Health Care Innovations Exchange Profiles NJHA/AMS Medicare Gainsharing Pilot Demonstration

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The July 16, 2014 issue of the Agency for Healthcare Research and Quality (AHRQ) Health Care Innovation Exchange (http://innovations.ahrq.gov/profiles/hospital-gain-sharing-program-offers-incentives-physicians-based-their-efficiency-producing) reviews the results of the 3-year NJHA/AMS Medicare  Gainsharing Pilot Read More

The Revolution Continues

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The AMS Performance Based Incentive System® has now received 3 approvals by Medicare for use in large scale gainsharing demonstrations.  But the roots of our methodology date back to 1976, to the New Jersey demonstration that designed, developed and implemented “payment by the case”.  A recent article in the Annals of Internal Medicine lauded payment by DRG as “…arguably the most influential innovation in the history of health care financing”.  In this blog we fill in missing pieces, including the fact that the
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