title: Game changer: HHS sets goals for basing payments on quality.
abstract: For the first time, theDepartment of Health and Human Services has set specific goals for basing Medicare fee-for-service payments on quality or value by the end of 2018. Commercial payers are expected to follow suit and develop their own programs for basing payment on quality or value. Since much of the data used in the Centers for Medicare & Medicaid Services quality-based programs is risk-adjusted, complete and detailed documentation that represents all of the patients' conditions and services received is vital. The emphasis on care throughout the continuum means that case managers are going to have to communicate regularly with their counterparts in post-acute providers and make sure patients do well in the post-discharge setting.
mesh_terms: D019090:Case Management; D004469:Economics, Hospital; D016134:Organizational Policy; D011785:Quality Assurance, Health Care / Q000191:economics*; D012052:Reimbursement, Incentive; D014481:United States; D014483:United States Dept. of Health and Human Services