Eric Bushlow, Cardiovascular Roundtable
A recent study found four of 15 programs participating in CMS’s Medicare Coordinated Care Demonstration successful in reducing hospitalizations by 8%-33% for high-risk patients.
Prior analyses of the demonstration’s success determined minimal affect on Medicare spending and hospitalizations, however, study authors suggest a high-risk patient cohort saw substantial benefit from deployment of select coordination efforts.
Earlier assessments of the demonstration’s effectiveness examined performance independent of patient risk for hospitalization. Therefore, both high-risk and low-risk patients were assessed to determine the effects of coordination efforts.
Brown et al., suggest significant results were easily masked; upon in-depth analysis, specific coordination tactics were highly successful in reducing hospitalizations among high-risk patient populations.
Six strategies cut hospital admissions for high-risk patients
Nicole MacMillan, Cardiovascular Roundtable
In late April, the American College of Cardiology Foundation (ACCF), the American Heart Association (AHA), and the American Medical Association- Physician Consortium for Performance Improvement (AMA- PCPI) released an updated set of performance measures for heart failure management. The measures, an update of the 2005 ACC/ AHA HF performance measures, place an increased emphasis on coordinated, cross-continuum care, while eight past measures deemed redundant and no longer useful were retired. Of the nine total measures, two are focused on the inpatient setting, five on the outpatient setting, and two bridge both settings.
2011 HF management performance measures stress cross-continuum coordination