A nursing home demonstration project in Indiana has reduced avoidable hospitalizations among residents by a third, according to a recently released independent evaluation of OPTIMISTIC, (Optimizing Patient Transfers, Impacting Medical quality and Improving Symptoms: Transforming Institutional Care).
OPTIMISTIC is a Centers for Medicare and Medicaid (CMS) demonstration program designed to improve chronic disease management and boost staff education and training.
Photo: Rachel S. O’Hara/Sarasota Herald-TribuneJennifer tries to pay bills and go through some paperwork while her son, David, 2, competes for her attention.
Reporters can find it daunting to cover Medicaid, the huge state-administered federal program charged with providing health care benefits to more than 70 million Americans.
Maggie Clark embraced the challenge. In recent months, her Two Million Kids series for the Sarasota Herald-Tribune has delved into many aspects of Florida’s troubled Medicaid system. Continue reading
The Center for Medicare & Medicaid Innovation, created by the Affordable Care Act, is trying new ways of delivering health care and testing new incentives and payment models. Some ideas are likely, even expected, to fail. Others may lead to new ways of delivering higher quality care for less money.
CMMI also is supposed to help spread new ideas so they’ll take root in the real world. The U.S. Department of Health and Human Services has the authority to expand approaches that reduce spending – and halt those that do not. This is a more flexible approach than officials had with “demonstration projects” prior to the ACA.
The agency’s website is a goldmine of health care innovation. Read more about what CMMI is tasked with doing, how it will do it and how the success or failures of its projects will be determined in this new tip sheet.