Posted by Jason Greis on December 14, 2009 under Articles |
On Friday, December 11, 2009, the Medicare Payment Advisory Commission (“MedPAC”) released its draft recommendation to the Secretary of Health and Human Services (“HHS”) to forgo any market basket update to payment rates for long-term acute care hospitals (“LTACH”) for the 2011 rate year (“RY”) (see meeting transcript). MedPAC found that profit margins on Medicare cases averaged 3.4% during RY 2008 and projected that Medicare margins will increase, on average, to 5.8% in RY 2010 with expected improvements in documentation and coding and recent changes to an updated classification system (i.e. MS-LTC-DRGs). Read More...
Tags: 2011, greisguide, greisguidetoltachs, jason greis, long term acute care hospital, loss, ltac, LTACH, LTCH, ltch-pps, market basket update, medicare, MedPAC, profit, prospective payment system, rate year, reimbursement
Posted by Jason Greis on March 3, 2009 under Articles |
The most common form of risk financing in the LTACH and post-acute care arena is commonly referred to as an organization’s “insurance policy.” Typically, we “finance” the chance that we may suffer a loss secondary to an accidental injury by paying for an insurance policy. Alternative risk financing mechanisms can offer a number of different types of insurance mechanisms that provide the same (and many times better) “coverage” as the typical insurance policy. They also allow you to realize some investment ownership of that mechanism. Because the incentives of “ownership” and “good risk management practices” are perfectly aligned, well-managed alternative risk finance mechanisms can return the fruits of successful risk management straight to your bottom line. In short, a successfully owned and managed alternative risk financing mechanism can take “insurance” from the cost side of your balance sheet to the asset side. They also have other benefits. Read More...
Tags: alternative, financing, greisguide, greisguidetoltachs, insurance, j. brian jackson, jason greis, liability, loss, ltac, LTACH, LTCH, mcguirewoods, post-acute care, risk