MACRA and the Giant Move Into Value-based Payment Last Updated: August 15, 2017
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Hospital & Health Networks: Hospital leaders need to think about how this will affect revenues. “I would look at my potentially preventable admissions,” says Joe Damore, vice president of population health management at Premier Inc. To get started, he recommends reviewing the Agency for Healthcare Research and Quality’s list of ambulatory care-sensitive conditions, or medical problems (e.g., dehydration) that physicians often can prevent or manage effectively on an outpatient basis. “I would calculate what percentage of my admissions are probably going to decline in the next five years, Damore says. “Then I would be looking for new sources of revenue to replace those potentially preventable admissions.”

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