| Keeping the bills low, bro | Stakeholders and Vegetarian Options | It's all behind us | We hope this works! |
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What is global budgeting, readmission programs, and/or reducing HAI’s/HAC’s
These are some of the health care delivery system reform efforts (HINT: multiple answers)
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What is the Center for Medicare and Medicaid Services (CMS)
This is the government agency that oversees Medicare
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The Maryland all-payer hospital rate regulation system
A health services cost setting program that has been running for over 30 years in Maryland
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What is the MHACs (Maryland Hospital Acquired Conditions) program
This is the program that improves health care quality by restricting payments for never events
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What is coordinated care
Under this aim of the all-payer system, hospitals and doctors and are encouraged to work together
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Who is the U.S. Secretary of The Department of Health and Human Services
Kathleen Sebelius
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What is the Total Patient Revenue System
This (CMS) system implemented innovative budgeting of outpatient and inpatient services
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What is overutilization/ What is overuse of diagnostic testing
This is one of the things doctors are doing that greatly increases health care costs
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What is the Health Information Exchange (HIE)is transparency
This is one of the ways that the total payment system uses health IT to controls costs
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What is the Maryland Department of Health and Mental Hygiene
The waiver proposal was developed by this this Maryland state agency
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What is the waiver test?
“The cumulative growth of Medicare inpatient payment per admission in Maryland, since January 1, 1981, cannot exceed cumulative growth in Medicare inpatient payment per admission nationally.”
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What is a medical home (patient-centered medical home)
These are a place to provide preventive services to all and coordinate care for individuals
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What is 25%
Prior to the original Medicare waiver, Maryland hospital costs for admission were what % above the national average
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Who are the consumers of Maryland Hospital Services
These people are the beneficiaries of the Maryland All-Payer system
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What is the national Medicare system
If proven unsuccessful, the state will have 36 months to come into compliance if they fail the test. If Maryland continues to fail the waiver test, the state may be given 2 years to transition to what system?
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What is population based budgeting / What is global budgeting?
This budgeting system for suburban and urban hospitals will move these hospitals away from fee-for-service payment towards accountability for health outcomes and cost
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What is transparency
This aim of the all-payer program means that all hospitals will be on the same accounting and reporting procedures, and that this information will be shared with consumers
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What is the HSCRC - Health Services Cost Review Commission
The board that determines the set fees for hospital services in Maryland
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What is the Social Security Act?
This broader piece of legislation, in conjunction with state law, allows Maryland to set rates for hospital services (HINT: p.3)
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What are Accountable Care Organizations (ACOs)
These groups of doctors, hospitals, and other health care providers give coordinated high quality care to their Medicare patients as part of what type of organization?
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