Payment Reform

KHA Calendar

Continuing to Prepare for the Transition to ICD-10 Webinar - May 21

Executive level briefing. For more information, contact the KHA Education Department at ccarney@kha-net.org or (785) 233-7436.

HAK District Meeting - District 2 - May 22

For more information, contact Amy Fluke at afluke@kha-net.org or (785) 233-7436.

Overview of the 2013 Medicaid DSH Program Webinar - May 23

Important Note: We encourage all Prospective Payment System hospitals to participate in this webinar, even though your hospital may not qualify for Medicaid DSH. For more information regarding this program, contact the KHA Education Department at (785) 233-7436.

HCAHPS Learning Network Webinar - May 24

For more information regarding this program, contact Deborah Stern at (785) 233-7436.

KHA Board Retreat - May 30-June 1

For more information regarding the KHA Board Retreat, contact Amy Fluke (afluke@kha-net.org) or Jennifer Findley (jfindley@kha-net.org) at (785) 233-7436.

Payment Reform

There are health reform provisions that change reimbursement structures and shift financial risk to providers. This section contains information and resources.

Value-Based Purchasing

Hospital Inpatient Value-Based Purchasing Program Proposed Rule

Billing, Financial Assistance and Collection Practices - Template

HRSA's 340B Prime Vendor Program from National Rural Health Association - PowerPoint Presentation

HRSA's 340B Pharmacy Services Support Center Federal Update from National Rural Health Association - PowerPoint Presentation

HRSA's Office of Pharmacy Affairs 340B Drug Pricing Program from National Rural Health Association - PowerPoint Presentation

Getting Started in the 340B Program: Safety Net Hospitals from National Rural Health Association - PowerPoint Presentation

340B for Newly Eligible Rural Hospitals from National Rural Health Association - PowerPoint Presentation

"Risk Adjustment: Health Calculus for the Reform Environment" from Milliman Inc. Risk adjustment, a method for adjusting health care costs to reflect the health status of a given population, will take on new significance under health care reform. To harness the true potential of such a powerful tool, critical stakeholders like government agencies, health plans, provider organizations and employer groups must understand how to properly select, implement and evaluate risk-adjustment models. Using the appropriate risk-adjustment methodologies in the correct context will contribute to more accurate health care pricing, more efficient utilization and improved quality of care.

Lewin Group Health Benefits Simulation Model HBSM - A micro-simulation model of the U.S. health care system designed to model the effect of policies designed to increase public and private health insurance coverage. It should be thought of as a platform for analyzing the impact of health reform proposals.

Market Basket Adjusment Chart

Medicare Payment Reductions

Health Research and Educational Trust - Bundled Payments - This AHA Research Synthesis Report presents an overview of bundled payment, including evidence of its effects in the public and private sector, as well as questions that must be considered as the concept is carried forward by both policymakers and delivery organizations.