Article perview reprinted from "The Gray Sheet" - August 24, 2009
Two Medicare demonstration projects targeting the practice of hospital-physician gainsharing resurfaced in a CMS press release last week after a period of obscurity. Read more...
Article perview reprinted from "The Gray Sheet" - August 24, 2009
Two Medicare demonstration projects targeting the practice of hospital-physician gainsharing resurfaced in a CMS press release last week after a period of obscurity.
The four-page release was principally focused on reporting updated outcomes from ongoing value-based purchasing demonstration projects, but its last page disclosed that 14 hospitals are collaborating with more than 1,000 physicians in two Medicare demonstrations of gainsharing - or physician-hospital shared savings - strategies.
The gainsharing programs have barely been mentioned in public by agency officials in the past two years.
Specifically, the agency announced for the first time that two hospitals, Beth Israel Medical Center in New York City and Charleston Area Medical Center in West Virginia, started implementing gainsharing models last October under the Medicare Hospital Gainsharing Demonstration.
That demo was authorized by Congress in February 2006, under the Deficit Reduction Act, and was originally slated to begin at six hospitals at the beginning of 2007 ('The Gray Sheet' Jan. 2, 2006). But after signs that CMS was struggling to meet Congress' mandate to enroll two rural hospitals in mid-2007, the program appeared to lose momentum. Some in the device industry thought the project was dead.
The CMS press statement also discloses that 12 hospitals administered by the New Jersey Hospital Association just began to employ gainsharing strategies in July under the Physician Hospital Collaboration Demonstration.
- David Filmore
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