What is Fair Payment for Outpatient Care?
New technologies make it possible for much of the care that used to require a hospital stay to now be delivered in an outpatient setting, but what happens to the provider payment when the site of care shifts?
The Centers for Medicare & Medicaid Services' Advisory Panel on Hospital Outpatient Payment regularly tackles this important reimbursement question as it works to establish fair payment rates for outpatient care.
This group of up to 19 members from the provider community, all of whom are selected by the HHS Secretary or CMS Administrator, convenes several times per year to hear presentations from vendors, providers, and others seeking adjustments to outpatient payment rates. The panel then offers advice and recommendations to CMS regarding appropriate reimbursement levels for these services.
Kris Zimmer, senior vice president of finance at St. Louis-based SSM Health Care, a 4,000-bed health system covering four states, recently joined the panel for a four-year term. At SSM, Zimmer oversees system finance, financial planning, and capital management, among other duties.
I recently asked him why he wanted to join the panel and what he hopes to achieve in his new role.
"Overall, in my mind, the panel provides an important service. As we know, more and more healthcare in our country is being delivered in an outpatient setting and we see a rapidly accelerating pace of change in terms of the technology that is available to take care of patients in an outpatient setting," Zimmer said.
- CFO Exchange: Smartphones Poised to Disrupt Healthcare, Says Topol
- Consumerism Drives Healthcare Branding, Rebranding Efforts
- PA Ranks See 'Phenomenal Growth,' Lack of Diversity
- 3 Traits Personality Assessments Can't Reveal
- Antibiotic Overuse a 'Huge Threat' to Patient Safety, Says CDC
- CNO on Hospital Redesign: 'You Can't Over-Communicate'
- How Digital Strategy Shapes Patient Engagement at Boston Children's Hospital
- CHS Hacked, 4.5M Patient Records Compromised
- CFO Exchange: Healthcare Leaders Share 5 Innovative Ideas
- Carondelet to Pay $35M to Settle Fraud Allegations