Medical Assn. of Georgia: 5 ACA standards that could give plaintiffs an advantage in court

1. Adult health quality measures: The federal government is authorized to develop a core set of health care quality measures to be reported for adult Medicare beneficiaries.
2. Hospital readmissions reduction program: To decrease Medicare hospital costs, excessive 30-day readmissions of certain patients will mean lower payment rates.
3. Hospital-acquired conditions initiative: Facilities will be prohibited from receiving additional Medicare payment for treating certain hospital-acquired conditions.
4. MSSP: Hospitals & physicians that coordinate care successfully for patients will share in some of the cost savings to the federal gov't that result — & might be penalized for failing to restrain costs
5. Value-based payment modifier: Medicare payments to certain physician group practices will be modified based on how well they meet certain quality measures.

Source: Medical Assn. of Georgia
Source URL: http://amednews.com/article/20130415/government/130419963/1/

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