RevCycle Intelligence June 23, 2020
Jacqueline LaPointe

Value-based reimbursement encourages clinicians to care for the whole person, which is essential to addressing health disparities demonstrated by claims data from the COVID-19 crisis, CMS says.

Health disparities proven by Medicare claims data during the COVID-19 crisis underscore the need to transition to value-based reimbursement, according to CMS.

Yesterday, the federal agency announced COVID-19 outcomes based on Medicare claims data from January 1 through May 16, 2020. The data revealed that Medicare spent $1.9 billion in fee-for-service payments on 81,227 COVID-19 hospitalizations during the period, with average hospital reimbursement hovering at $23,000.

Of the nearly $2 billion in hospitalizations, black beneficiaries accounted for nearly four times more than their white peers, the preliminary data revealed. Black adults also had...

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Topics: CMS, Equity/SDOH, Govt Agencies, Healthcare System, Insurance, Medicare, Patient / Consumer, Payment Models, Provider, Public Health / COVID, Value Based
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