Possible Modifications to Allow for Better Alignment of Incentives Sample Clauses

Possible Modifications to Allow for Better Alignment of Incentives. Under healthcare reform, a number of approaches are being considered to contain healthcare costs. For example, bundling services under a single payment has been identified prominently as one method for aligning incentives for the efficient delivery of healthcare services. Because healthcare reform efforts are progressing rapidly, the parties to this TPR Agreement may mutually agree to modify its terms to expand the services included within the methodology as these changes are permitted by law and/or regulation. Future changes may include the potential for gain-sharing with physicians and the possible extension of the TPR to cover non-hospital services. The HSCRC is currently working with the Secretary of the Maryland Department of Health and Mental Hygiene and officials at the Centers for Medicare and Medicaid Services on a revised Medicare waiver

Possible Modifications to Allow for Better Alignment of Incentives. Under healthcare reform, a number of approaches are being considered to contain healthcare costs. For example, bundling services under a single payment has been identified prominently as one method for aligning incentives for the efficient delivery of healthcare services. Because healthcare reform efforts are progressing rapidly, the parties to this TPR Agreement may mutually agree to modify its terms to expand the services included within the methodology as these changes are permitted by law and/or regulation. Future changes may include the potential for gain-sharing with physicians and the possible extension of the TPR to cover non-hospital services. The HSCRC is currently working with the Secretary of the Maryland Department of Health and Mental Hygiene and officials at the Centers for Medicare and Medicaid Services on a revised Medicare waiver test. As plans for the reformulation of performance measures emerge, HSCRC and the Hospital may agree to alternative savings models, including possible changes to the population and demographic adjustment.6

Possible Modifications to Allow for Better Alignment of Incentives. Under healthcare reform, a number of approaches have been mentioned to contain healthcare costs. For example, bundling services under a single payment have been identified prominently as one method for aligning incentives for the efficient delivery of healthcare services. The methodology outlined within this document is a first step in bundling by providing a single payment for an episode of care, regardless of additional readmissions that occur after the initial admission into a hospital. Because healthcare reform 3 This would include the purchase or divestiture of physician practices, joint-venture arrangements with other providers to establish unregulated services that duplicate or could substitute for regulated services currently provided by the hospital (such as, but not limited to, unregulated clinic, urgent care, or ambulatory surgery services), or other non-hospital services. efforts are progressing rapidly, the parties to this agreement may mutually agree to modify its terms to expand the services included within the methodology as these changes are allowed by law and/or regulation. Potential changes include the potential for gain-sharing with physicians and the potential extension of the TPR constraint to cover non-hospital services.