The Affordable Care Act (ACA) and other reform efforts have brought forth a renewed emphasis on care coordination at all points along the care continuum—including the period after hospital discharge. As part of this push, new financial incentives and penalties have put healthcare executives at the center of a high-pressure game of tug-of-war in which they must simultaneously improve care quality and reduce costs. Talk about a catch-22.

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Download: Triumph in the Triple-Aim Game: The Healthcare Executive’s Guide to Readmission Reduction, Patient Safety Promotion, and ACO Success

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  • America’s Next Top Payment Model: The Move to Pay-for-Quality Image

    articleMay 11, 2015 | 9 min. read

    America’s Next Top Payment Model: The Move to Pay-for-Quality

    Your mission, should you choose to accept it, is to provide higher-quality care at a lower cost. With the healthcare industry’s fast-moving transition to value-based —rather than service-based—payment systems, that’s the challenge many providers are facing. And while that mission may very well seem impossible, the truth is that rehab therapists and their peers in other medical fields don’t really have much of a choice as to whether they’ll accept it. [webform:1307:yellow inline] The winds of change …

  • Past, Present, and Possibility: The Progression of Pay-for-Performance Image

    articleMay 7, 2015 | 5 min. read

    Past, Present, and Possibility: The Progression of Pay-for-Performance

    For decades, healthcare leaders have searched for a way to balance the interests of providers, patients, and payers. The pay-for-performance paradigm has emerged as a front-runner in the race to drive down healthcare costs while simultaneously raising the quality of care and increasing patient satisfaction. But what, exactly, does this buzz term mean? Defining Pay-for-Performance As this Health Affairs article explains, the pay-for-performance umbrella encompasses any “initiatives aimed at improving the quality, efficiency, and overall value of …

  • WebPT + Outcomes: A PT Software Love Story Image

    articleMar 7, 2016 | 7 min. read

    WebPT + Outcomes: A PT Software Love Story

    Developing and launching WebPT Outcomes has been a labor of love—one that’s lasted about 15 months. At times, it felt more like the kind of love you’d have for a sibling—after he or she pushes you off the bunk bed and you split your lip open. You know, that kind of love. But, after lots of triumphs—and just as many fat lips—it’s been wonderful seeing the fruits of our labor come to life. Hello, WebPT Outcomes: the …

  • CMS Can See Clearly Now, Releases PQRS Strategic Vision Image

    articleMay 21, 2015 | 3 min. read

    CMS Can See Clearly Now, Releases PQRS Strategic Vision

    All month long, we’ve talked about the healthcare industry’s rapid evolution from the fee-for-service Stone Age to the pay-for-performance Enlightenment Period. Yes, payment reform is upon us , but don’t take our word for it—take it straight from America's largest payer of healthcare services: The Centers for Medicare and Medicaid Services (CMS). In an effort to “contribute to improved healthcare quality across the nation,” CMS recently published the Physician Quality Reporting Programs Strategic Vision , detailing a …

  • Luck o' the Outcome: Which OMT Are You? [Quiz] Image

    articleMar 8, 2016 | 1 min. read

    Luck o' the Outcome: Which OMT Are You? [Quiz]

    Whether you’re Irish or simply Irish-at-heart (hey, even St. Patrick himself didn’t hail from the Emerald Isle), March 17 is reserved as a day to bust out your best jig; don every imaginable shade of green; and partake in some delicious food and drink—even if only for nostalgia’s sake. So, in honor of St. Patrick’s Day, we’ve decided to combine two—no, three—of our favorite things: OMTs, holidays, and quizzes. So, plant a smooch on the ol’ Blarney …

  • Channeling Your Inner Chuck Norris: How to Master the Art of Outcomes Image

    articleFeb 17, 2016 | 6 min. read

    Channeling Your Inner Chuck Norris: How to Master the Art of Outcomes

    When I was growing up, I stayed at my grandparents house after school. This meant I spent the better part of my youth tuning into whatever my grandpa watched on TV. And because he watched a lot of Walker, Texas Ranger, I watched a lot of Walker, Texas Ranger. Chuck Norris was basically my afterschool nanny. (Don’t tell him I said that.) Each afternoon, I watched this karate-kicking cowboy fight off bad guy after bad guy. He …

  • Payment Reform and PT: The Private Practice’s Guide to Pay-for-Performance Image

    downloadMar 8, 2016

    Payment Reform and PT: The Private Practice’s Guide to Pay-for-Performance

    The US healthcare system is in the midst of a massive overhaul. As part of that shift, the volume-based payment systems of yore (a.k.a. fee-for-service) are quickly going the way of the floppy disk to make room for a new payment paradigm: pay-for-performance. Soon, you’ll receive reimbursements based on the quality of care—not the quantity of services—you provide. Is your rehab therapy practice equipped to survive—and thrive—in a value-based payment world? Enter your email address below to …

  • Evidence-Based Payment: Why Data is the Key to Pay-for-Performance Success Image

    articleMay 5, 2015 | 4 min. read

    Evidence-Based Payment: Why Data is the Key to Pay-for-Performance Success

    If I challenged you to find a rehab therapist who didn’t believe in the power of evidence, you’d be searching for a while—forever, hopefully. After all, PTs, OTs, and SLPs are steadfastly dedicated to evidence-based clinical practice, because they know it gives their patients the best possible chances for success. On the business side of therapy practice, however, the application of evidence—a.k.a. data—is something many rehab therapists have yet to fully embrace. Payers, on the other hand, …

  • What PTs Need to Know About ACOs Image

    articleMay 19, 2015 | 5 min. read

    What PTs Need to Know About ACOs

    As a physical therapist, you’re likely well-versed in the acronyms that drive your documentation practices: HIPAA , CPT , CMS , PQRS , FLR , and FML (just kidding). But there’s one more to watch for: ACO. By now, you’ve probably heard this one being bandied about in discussions about healthcare reform and alternative payment models, but you might not be super familiar with what it means. So, here you go: In response to the Affordable Care …

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