Premier Introduces Health Reform Reimbursement App | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Premier Introduces Health Reform Reimbursement App

August 9, 2012
by Gabriel Perna
| Reprints

The Premier healthcare alliance has introduced a new app, accessible in its PremierConnect integrated performance platform, which will aim to provide its members with specific estimates of the impact of health reform on their organizations. The app, called ReimbursementFocus, will help members project differences in payment from 2012 to 2019, with and without the policy changes mandated by the Patient Protection and Affordable Care Act (ACA).

ReimbursementFocus also includes information on the financial impact of recently passed healthcare legislation separate from the ACA, such as sequestration as put forth by the Budget Control Act of 2011, reduction in bad debt reimbursement as established by the Middle Class Tax Relief and Job Creation Act of 2012, and loss of Medicare dependent hospital status at the end of federal fiscal year 2012.

“This app translates high-level policy into actionable information,” Keith J. Figlioli, senior vice president of healthcare informatics for Premier, said in a statement. “It estimates the financial impact of reforms by year and by policy while showing which quality deficiencies are leading to those impacts. This offers Premier members a road map to mitigate or, in some cases, reverse a potential negative consequence.”

The app also includes information on the Centers for Medicare & Medicaid Services (CMS) on hospital characteristics and performance. This means wage index, disproportionate share hospital, indirect medical education, outlier adjustment factors, and Hospital Compare hospital-acquired conditions and readmission rate data.

Premier is also incorporating information from its clinical, financial and operational comparative databases, where federal data does not exist. Files are preloaded with hospital-specific information and are customizable allowing users to test different scenarios like changes in their performance or future legislation.

This goes along with other apps from Premier including accountable care modeling and a value-based purchasing apps, which helps hospitals to calculate value-based purchasing scores on a real-time basis using actual performance period data.

Get the latest information on Health IT and attend other valuable sessions at this two-day Summit providing healthcare leaders with educational content, insightful debate and dialogue on the future of healthcare and technology.

Learn More



NIH Issues Funding Announcement for All of Us Genomic Research Program

The National Institutes of Health’s (NIH) “All of Us” Research Program has issued a funding announcement for genome centers to generate genotype and whole genome sequence data from participants’ biosamples.

MGMA: Physician Compensation Data Illustrates Nationwide PCP Shortage

Primary care physicians’ compensation rose by more than 10 percent over the past five years, representing an increase which is nearly double that of specialty physicians’ compensation over the same period, according to the Medical Group Management Association (MGMA).

Circulation, Buoy Health Collaborate on Integrated Platform for Patient Transportation

Boston-based startup Circulation Health, a ride-ordering exchange that coordinates medical transportation logistics using Lyft and other transportation partners, is partnering with Buoy Health, also based in Boston, to integrate their platforms to provide patients with an end-to-end healthcare experience.

HITRUST Provides NIST Cybersecurity Framework Certification

The Health Information Trust Alliance (HITRUST), security and privacy standards development and accreditation organization, announced this week a certification program for the National Institute of Standards and Technology's (NIST) Cybersecurity Framework (Framework).

Report: Interoperability in NHS England Faces Similar Barriers as U.S. Healthcare

Electronic patient record interoperability in NHS England is benefiting patient care, but interoperability efforts are facing barriers, including limited data sharing and cumbersome processes falling outside of the clinician workflow, according to a KLAS Research report.

Geisinger National Precision Health Hires Illumina Exec to Lead Business Development

Integrated health system Geisinger has hired a high-profile genetic counselor to head up business development for Geisinger National Precision Health, which was created to extend the Geisinger model on the national scene.