"MSPB" or Medicare Spending Per Beneficiary sounds obtuse, but it translates to money for your hospital. It is a ratio indicating how much any one facility's Medicare beneficiaries cost the government over a span of time from three days before admission to 30 days post discharge. Unfair, some industry groups complain. How can they control what services patients receive outside their walls?
CMS disagrees. On authority of the PPACA, the agency gave this measure a 20% weight in the equation determining whether hospitals receive incentive payments under value-based purchasing starting this Oct. 1. The formula is designed to make sure hospitals monitor and guide their physicians to not duplicate expensive imaging tests and to move patients to home care rather than skilled nursing care when appropriate.
3. Flipping Healthcare
Healthcare should be flipped, that is, delivered in a way that's convenient for patients, not their providers, says Institute for Healthcare Improvement president and CEO Maureen Bisognano, who used the phrase in her National Forum keynote last month.
The idea, borrowed from education ( "flipping the classroom,") is that healthcare should be provided in a way that meets what the patient wants, and providers should be allowed to teach caregivers what they need and that caregivers should listen.