Prospective Payment System:
Outlier Proposal May Shoot Itself In The Foot
Published on Fri Oct 21, 2016
Medically complex patients at risk under revamped methodology, commenters warn. In a proposed change to its outlier reimbursement, Medicare tries to focus financial resources on at-risk medically complex patients. But the policy may end up doing just the opposite in some cases, critics say. Reminder: The Centers for Medicare & Medicaid Services wants to switch from the current per-visit-based outlier [...]