Reimbursement, Delivery Shift to More Accountable Care in 2014

​Regulatory and market forces will have a significant impact on geriatric care providers in 2014, with the potential to reshape how they deliver and are reimbursed for care, according to an article in the December 2013 Annals of Long-Term Care: Clinical Care and Aging . Providers are likely to see a larger pool of residents and patients as many previously uninsured individuals gain access to health insurance through the Patient Protection and Affordable Care Act. Although the health insurance marketplaces will not be available to Medicare beneficiaries, increases in Medicaid coverage limits will serve to further expand the ranks of insured patients who may seek geriatric care services for the first time. The reimbursement impact of insurance and Medicaid expansion will be further affected by changing payment formulas and a further drive toward outcome-based or value-based payment.