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CMS Archives | SpecialtyCare

SpecialtyCare
By | Articles | September 29, 2016

Healthcare Fraud Is Not a Victimless Crime

Estimates vary when calculating the money lost to fraud—it’s difficult to measure that which is undetected—but the Federal Bureau of Investigation (FBI) states that healthcare fraud costs the country tens of billions of dollars each year. Paying for law enforcement, legal resources, and sophisticated technology to combat the problem adds to the price tag. Taxpayers and employers endure the financial brunt of fraud, but illegal schemes can also put patient health at risk. Clearly, healthcare fraud is not a victimless crime.

Gary Guidry
By | Articles | August 11, 2016

Putting the Value in Value-Based Payments: Your Perfusionist Makes a Difference

Today, the need for continuous improvement is a given. How can we do more with less, but not sacrifice quality? Ultimately, how can we deliver greater value? That is the core idea of value-based payment models now being tested across the country and lies at the heart of the mandatory cardiac bundles recently proposed by the Centers for Medicare and Medicaid Services (CMS). Getting the highest quality from all components of a bundled service is paramount. One such component, cardiovascular perfusion, can have a significant impact on outcomes, recovery, and readmissions. But, how do you know that the perfusionists in your OR are capable of driving value and helping you achieve your quality goals?