The Impact of CMS Regulations and Reimbursement Models

The Impact of CMS Regulations and Reimbursement Models Just like any other going concern, Healing Hands seeks to minimize costs while at the same time maximizing profits. As much as this is the case, the nature of services healthcare organizations provides must be monitored by government especially when it comes to quality because the government must protect its citizens. Government regulations through various policies have the capacity to either enable the Healing Hands and other healthcare organizations realize this goal or hinder its realization especially if the policies are directed at reimbursement models as is the case of the Centers for Medicare and Medicaid Services (CMS) regulations. It is noteworthy that legislations such as the Patient Protection and Affordable Care Act, Medicare Authorization, and CHIP Reactivation Act of 2015 (MACRA) and the HITECH Act have significantly influenced the way healthcare organizations receive reimbursement and demonstrate the use of data to improve quality and delivery of patient care. Some of the new reimbursement systems from the CMS include pay for performance, shared savings and the bundled payment models. Healing Hands must select one or two of the various reimbursement models provided by the CMS.