These participating companies would, by contract, allow an independent monitor to "conduct periodic reviews and prepare root-cause quality and deficiency analyses of a chain to assess if facilities of the chain are in compliance with applicable laws. The reviews would be published.
The teams would be paid a set rate per beneficiary, but would be rewarded with any savings they achieve, not unlike a capitated model.
Those teams selected for such a pilot demonstration project would also use electronic health information systems and remote monitoring, as well as mobile diagnostic technology, all of which can function more efficiently and less expensively than the traditional acute care setting.
Though these five programs are in the latest House health reform bill, many critics have charged there still isn't enough concrete cost savings in the legislation. Plus, many questions remain: