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Unformatted text preview: of lower payments,
as well as in changes in the way healthcare providers are paid. In addition, the Budget Control Act of
2011 will likely result in additional cuts to Medicare spending and could possibly result in cuts
in federal contributions to state Medicaid plans,
as well. Medicare and Medicaid patients account
for nearly 50% of hospital volumes and 30% of
hospital net revenue. Clearly, lower Medicare and
Medicaid spending will have a significant impact
on Colorado’s hospitals in coming years.
Similar to Medicare, commercial payers are facing
financial challenges that will exert further downward pressure on hospital payments. These lower
payments will come, in part, as a result of a migration away from the current fee-for-service-based
payment model to new models that pay based
on patient outcomes and on keeping the people
in their communities healthy—thus, reducing
avoidable emergency department visits and hospitalizations. Hospitals will be required to better
coordinate with all providers involved in patient
care, including physicians, post acute care providers, home health providers, and others, to ensure
optimal outcomes for acute care episodes. One
payment for an episo...
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This note was uploaded on 02/11/2013 for the course MGMT 231 taught by Professor Yu during the Spring '13 term at Bauder.
- Spring '13
- The Lottery