Magellan Launching Performance-Based Reimbursement For Inpatient Services

During 2014, Magellan Health Services will launch the Magellan Facility Incentive Program (MFIP), a nationwide, voluntary performance-based reimbursement program for inpatient services. The program is intended to both improve patient outcomes and decrease the administrative burden for provider organizations. Under the program, participating facilities that improve and sustain high-quality performance will be eligible for performance-based reimbursement.

Performance will be based on benchmark ratios determined by an algorithm that creates case-mix adjusted scores for readmission rates, follow-up after hospitalization, care manager ratings, and average cost per episode of care. Magellan has not yet released details about . . .