Overview

Payers including the Centers for Medicare and Medicaid are establishing Pay-for-Performance programs. Healthcare organizations need to know where they stand with regard to quality performance as it significantly impacts Medicare reimbursement now and into the future.

TBS Response

Total Benchmark Solution, LLC's (TBS's) goal is "To Have the most robust solution for analyzing Quality Measures to enable Healthcare organizations to improve Pay-for-Performance compensation and Healthcare purchasers to make the best decisions when selecting providers." TBS's solution - Pay-for-Performance Monitoring meets that goal. Pay-for-Performance Monitoring provides healthcare organizations with a solution to:

• Monitor potential Pay-for-Performance reimbursement based on both methods of comparison:
  • Premier Model
  • Value-Based Purchasing Model

TBS incorporates CMS public data as soon as it is released and allows organizations to review their performance and rankings on a national level. Additionally, the Facility Total DRG Reimbursement before VBP can be edited with up to date facility values to increase accuracy as well as Care Area Reimbursements. Data is updated regularly on a quarterly basis which allows for the most informative and accurate reporting available.

Benefits to Monitoring your Pay-for-Performance with TBS

Why rely on a traditional method of calculating results when our system offers so much more

With TBS you can count on efficient accurate results with a fast delivery time. The quality of the product is unparalleled, reliable, and you can expect nothing but the highest standards and regards for your confidentiality and discretion. The program is capable of handling multi-entity organizations and is the most comprehensive advanced software available on the market.

Pay-for-Performance Monitoring Annual Subscription

The Pay-for-Performance Monitoring Annual Subscription service includes:

• Premier P4P Model:
  • Unlimited Monitoring of CMS Process of Care Measures
  • Access to all CMS public quality measure data releases during the subscription period (every 3 months)
  • Unlimited Monitoring of possible reimbursements based on Clinical Care Areas
  • Ability to model scores to see how possible changes could impact reimbursement
• Value-Based Purchasing (VBP):
  • Unlimited Monitoring of CMS Process of Care Measures and HCAHPS Measures
  • Access to all CMS public quality measure data releases during the subscription period (every 3 months)
  • Unlimited Monitoring of possible VBP reimbursements based on Clinical Measures and HCAHPS Measures
  • Ability to model scores to see how possible changes could impact reimbursement

The Pay-for-Performance Monitoring Annual Subscription fee is very affordable, and is a necessary tool to achieve the best quality for your patients, and the highest possible returns from Medicare.

TBS Recommendation

We strongly encourage healthcare organizations to make a commitment to measuring and benchmarking their quality performance. This is not a one-time organizational event, but an ongoing commitment to providing the best possible care for the patients that a healthcare organization serves. As such, we encourage organizations to commit to the annual subscription and an organizational process to use the Pay-for-Performance monitoring information.

Why Total Benchmark Solution:

We offer both versions of the Pay-for-Performance models in one package allowing you to use and compare both proposed solutions for CMS. And with Total Benchmark Solution, LLC your options are limitless. We give you the opportunity to customize the solution that fits your needs. The Facility total BRG reimbursement before VBP can be edited with current facility values to increase accuracy as well as care area reimbursement. The results are formatted so that they have easy to read, presentation ready graphics that show the areas where quality can be improved upon, and the resulting in financial implications. You can trust that Total Benchmark Solution will provide the most advanced, dependable, user-friendly programs available on the market today. Wouldn't you like to know where you stand?