Good article for those interested in healthcare and possibly healthcare administration. Please also review our healthcare case management program
The article, Can An Investment In This New ‘Home’ Reduce Healthcare Costs?, by Robert Glatter states
“Over the past several decades, when you are admitted to the hospital and then require surgery, your insurer has a code known as a DRG (diagnosis-related group) that determines how many days you will spend in the hospital. But additional factors such as requirements for preoperative blood work, x-rays, CT scans as well as need for pain management and clinical stabilization are important considerations in how long you may need to stay.
But now with a shift to value-based care and the creation of MACRA-MIPS, the evolution of bundled payments is changing the landscape for how reimbursement for surgery and preoperative and postoperative care is determined. Streamlined care that capitalizes on evidence-based medicine requires creativity and shifting of previous roles of medical providers to incorporate new roles.”