Kenneth L. Davis, MD, believes that keeping patients healthy and ultimately out of the hospital is the key to making healthcare more affordable. That is why he is leading one of the nation’s top health systems down the path of...
Hospitals that had more local access to post-acute care services, such as primary care physicians and skilled nursing facility (SNF) beds, had lower thirty-day hospital readmission rates compared to...
An internal analysis of three CMS Innovation Center models revealed instances of implicit bias in healthcare, which disproportionately impacted people of color and low-income individuals.
CMS...
Although some home-based care professionals are still unsure about the impact value-based care has had on their organizations, over four in 10 home healthcare providers expect value-based contracts to...
The COVID-19 pandemic changed how healthcare organizations approach care delivery, but the industry needs more efficient and transparent data sharing methods to accelerate provider transition to value-based care models.
Providers and...
Value-based payment programs tie healthcare reimbursement rates to quality care by offering providers incentive payments to meet specified quality measures during and after healthcare delivery.
As the industry moves away from...
CMS will reweight the cost performance category under the Merit-Based Incentive Payment System (MIPS) for the 2021 performance period due to the COVID-19 pandemic’s impact on clinicians and cost...
Three healthcare providers—Fresenius Health Partners, the value-based care division of Fresenius Medical Care North America, InterWell Health, and Cricket Health—have entered into a...
Value-based care is a form of reimbursement that ties payments for care delivery to the quality of care provided and rewards providers for both efficiency and effectiveness. This form of reimbursement has emerged as an alternative and...
Value-based care platform Signify Health has signed an agreement to acquire Caravan Health and aims to increase participation in value-based payment models and improve patient outcomes.
The merger...
While hospitals, small practices, and larger healthcare systems are known for saving lives and treating patients, every healthcare organization needs to develop successful processes and policies for staying financially healthy. That is...
A group of eight healthcare organizations, including the American Medical Association (AMA) and National Association of ACOs (NAACOS), have asked Congress to increase their efforts in promoting...
Overuse of low-value services was most often seen in healthcare systems that had more beds, had fewer primary care physicians, had more physician practice groups, and were...
More than 50 lawmakers led by US Representative Pramila Jayapa urged the Biden administration to discontinue the Medicare Direct Contracting (DC) program and transition Medicare...
The implementation of the Patient-Driven Payment Model (PDPM) was associated with a decrease in the volume of rehabilitation therapy utilization, according to a study published in JAMA...
A study analyzing Choosing Wisely recommendations found that nearly 50 percent of identified low-value services may cause direct potential harm.
Published in JAMA Network, researchers...
CMS has notified providers via email that it will not move forward with the Seriously Ill Population (SIP) Component of the Primary Care First Model. The Model started in 2021 but the Biden...
Providence St. Joseph Health has been at the forefront of delivering high-quality, affordable care to patients. Value-based care is a vital pillar of the health system’s strategic plan for transforming care to improve outcomes and...
More than 1,200 hospitals have faced penalties for preventable hospital readmissions every year for the last 10 years since the launch of the Hospital Readmissions Reduction Program (HRRP), according...
More than half of consumers are unfamiliar with value-based care, and for the ones who are aware of it, only a quarter can define the healthcare model correctly, a new study from nonprofit health plan...
