Where is he?
This town was burned by the Confederate calvary in July 1864 after the townspeople refused to pay an indemnity of $100,000 in gold.
What is Chambersburg?
ACO stands for.
What is an Accountable Care Organization?
The percentage of providers being paid under a fee-for-service (FFS) model in 2016.
What is 86%?
CMS is short for.
What is Centers for Medicare and Medicaid Services?
This city was the capital of PA from 1799 to 1812. This city (this pod name in our district) was named after this English city. Its symbol, the red rose, is from the House of ___.
What is Lancaster?
What are bundled payments?
U.S. government agency under HHS that sets regulatory agendas and payment policies and provides coverage for nearly 100 million Americans.
What is CMS?
Comprised of one or more providers (physician groups, hospitals) and a payer (Medicare, private insurers), ACOs receive shared savings bonuses - along with the traditional FFS payments - for lowering costs and increasing quality of care for their assigned patients.
What is an ACO?
The largest payer in the United States (more than 60 million lives). It will become insolvent before the end of 2026.
What is Medicare?
This city is known as the White Rose City (after the symbol of the House of ___).
What is York?
Fed her husband to the tigers.
Who is Carole Baskin?
The most popular (of the two) Medicare ACO Programs because participants are given flexibility with how much financial risk they want to take on. Largely successful with 518 ACOs as of December 2019 and covers 11M Medicare lives. Providers agree to be held accountable for achieving better health for individuals, better population health, and lower growth in expenditures for an assigned set of FFS beneficiaries.
What is the Medicare Shared Savings Program (MSSP)?
The Ozarks, also known as the Ozark Mountains, or Ozark Plateau, is a physiographic region in the U.S. states of Arkansas, Oklahoma, southeastern Kansas, and which state.
What is Missouri?
This Australian town in the New South Wales (NSW) region, is known as the "Biggest Little Town in Australia". It's name means "small round hill" and was given to the district by the Aboriginal people.
What is Mullumbimby?
Healthcare plan that combines Medicare Part A (inpatient care) and Part B (outpatient care). Those enrolled, are Medicare eligible, who opt into plans operated by Commercial insurers but funded by CMS per person.
What is Medicare Advantage?
Two active Medicare ACO programs.
What are Medicare Shared Savings Programs (MSSP) and Next Generation ACO Program?
Where the first insulin extract was produced.
What is Toronto, Canada?
Determines how an ACO is paid for care (similar to bundled payment contracts with the main difference being that the target amount is not for a given care episode, but the total cost of care for an entire patient population).
What is a shared savings contract?
Offers higher shared savings and loss rates than the enhanced MSSP track. Pushes providers toward higher risk/higher reward.
What is the Next Generation ACO Program?
President Abraham Lincoln delivered this speech during the American Civil War.
What is the Gettysburg Address?
The P4P program that addresses Medicare payments based on quality. These categories include process, experience, outcomes, efficiency, and safety. It's the only program that offers bonuses for really high performers. A total of 2% of revenue is at risk.
What is the Value-Based Purchasing Program (VBP)?
The P4P program that evaluates hospitals on their performance on various health care associated infections (SSI, MRSA, C. diff, etc.), and penalizes hospitals in the top (worst) performing quartile. Lowest performing hospitals lose a flat 1% of Medicare inpatient FFS revenue.
What is the Hospital-Acquired Condition Reduction Program (HAC)?
The P4P program that penalizes hospitals for worse than expected readmission rates (up to 3% of revenue is at risk and they can only be penalized, but not rewarded). The six conditions measured fall under these three categories: cardiac, pulmonary, and orthopedic.
What is the Hospital Readmissions Reductions Program (HRRP)?
Center within CMS, created by the ACA, to develop and test new payment and service delivery models, while aiming to improve care quality, lower costs, and push providers towards value-based care.
What is the Center for Medicare and Medicaid Innovation (CMMI)?
What is Health Economics and Outcomes Research?