Wednesday, May 22, 2013

Becker's Hospital Review: 6 Value-Based Credit Rating Metrics Hospital CFOs Need to Know

One through five on the list I would have guessed but #6 a new one to me,
6. Risk-based revenues. Hospitals provide data on traditional forms of payment such as diagnosis-related groups, per diems and capitation, but Moody's will also be looking at how much a hospital receives from risk-based revenues. These include bundled payments and pay-for-performance reimbursement, or any other reimbursement that is based on the hospital's ability to delivery care at a lower cost.
Maybe I've just been too removed from the nuts-and-bolts of reimbursement to have had #6 cross my mind.