Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid

Value-Based Care News

Providers Squeezed to Integrate Care Management Solutions

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At this year’s HIMSS conference and exhibition, Chilmark Research released the 2016 Care Management Market Trends report, which outlines how the market is leaning on healthcare providers to create care management solutions. The report also...

Accountable Care Organizations Responsible for Drug Spending

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Accountable care organizations consist of a network in which payers, primary care physicians, and specialists work together to improve the health of a population. To dive deeper into one of the type of specialists seeking to enhance care within...

Why Patient-Centered Accountable Care Organizations Thrive

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The patient-centered accountable care organization (ACO) is the new future of healthcare. According to Mark Wagar, President of Heritage Medical Systems, when patients' voices are heard, they receive better quality care. Wagar said...

Shared-Decision Making Advances Value-Based Care Outcomes

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Shared-decision making promotes strong dialogue between healthcare providers and healthcare consumers and builds stronger value-based care outcomes. At its core, shared-decision making gives beneficiaries more choice about their care and treatment...

How Medicare Accountable Care Organizations Keep CAHs Afloat

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Medicare accountable care organizations (ACOs) are finally smoothing out regional hospitals' revenue cycle wrinkles. But successful ACOs still need to adopt tighter standards to remain financially viable. Critical access hospitals...

How Does Value-Based Reimbursement Affect Pediatric ACOs?

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Value-based reimbursement and pay-for-performance incentives are positively influencing pediatric accountable care organizations (ACOs), according to research from JAMA Pediatrics. The new future of value-based incentives is perhaps all...

CMS Proposes Changes to ACO Medicare Shared Savings Program

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The Centers for Medicare & Medicaid Services (CMS) has released a proposed rule to improve performance incentives for accountable care organizations (ACOs) under the Medicare Shared Savings Program. This proposal builds upon the growth of...

Why Did Experienced Accountable Care Organizations Fail?

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The Medicare Pioneer Accountable Care Organization (ACO) has proven it is able to manage larger performance-based financial risk levels. But some Pioneer ACOs dropped out when quality benchmarks were too hard to reach. RevCycleIntelligence.com...

Value-Based Incentives Enrich Accountable Care Organizations

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Pay-for-performance incentives positively sway physician behavior when it comes to value-based care advancement, according to a new JAMA Pediatrics study. Financial incentives tied to value-based reimbursement advance basic health measures,...

Do Accountable Care Organizations Save Claims Reimbursement?

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Accountable care organizations (ACOs) are reportedly being penalized for high revenue cycle management performance. Healthcare providers looking to manage their claims reimbursement strategies remain focused on value-based care initiatives while...

Accountable Care Organizations Renew Hospital Reimbursement

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Accountable Care Organizations (ACOs) may be a welcome hospital reimbursement innovation for the critical access community. Critical care organizations far away from the hustle and bustle of a nearby city face a different set of reimbursement...

CAPG Praises Next Generation Accountable Care Organizations

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The Centers for Medicare & Medicaid Services (CMS) recently selected twenty-one healthcare organizations to participate in a newfangled Next Generation Accountable Care Organization (ACO) model. The 21 participating ACOs have formidable...

CMS, AMA Outline Evolving Healthcare Market Opportunities

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The Centers for Medicare and Medicaid Services (CMS) and the American Medical Association (AMA) discussed the evolving healthcare market yesterday at the J.P. Morgan Healthcare Conference in San Francisco, California. Their discussion was fittingly...

CMS Says 121 New Medicare ACO Participants Advance Quality

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The new future of the Accountable Care Organization is here. The Centers for Medicare & Medicaid Services (CMS) has announced 121 new Medicare Accountable Care Organization (ACO) participants. Yesterday’s press release from...

Do Accountable Care Organizations Improve Patient Experience?

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Accountable Care Organizations (ACOs) are designed to generate revenue by keeping patients happy. When ACOs were a tad newer, beneficiaries reportedly confirmed they were indeed satisfied with the level of care received from an ACO. But the push...

The Revenue Cycle Focused Accountable Care Organization

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Are you a healthcare provider considering making the accountable care switch as a New Year’s resolution? Staying in the black for 2016 means anticipating and preparing for possible financial disaster. But where should your revenue...

4 Fresh Accountable Care Organization Growth Predictions

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A new year calls for new accountable care organization (ACO) reflections. What is the new ACO future? Healthcare providers remain focused on collecting financial bonuses and achieving subsequent revenue cycle and ROI success. But numerous...

Top 6 Accountable Care Organization Questions Explained

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Sometimes questions are more important than answers. Accountable care organizations (ACOs) — groups of doctors, hospitals, and healthcare providers helping provide Medicare beneficiaries with top-notch coordinated fee-for-service care –...

How a Cultural Transformation Can Advance Patient Safety

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Everyone makes mistakes. But what happens when an innocent mistake sends someone to the grave? Hundreds of thousands of patients reportedly die annually because of avoidable medical errors. How many more need to die before the healthcare...

5 Ways to Measure Patient Experience and Patient Happiness

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How do you best measure happiness? Perhaps with much more than a smile. Advancing the art of patient experience is a delicate task within the healthcare space that is often difficult to fully understand. Just because a patient fails to complain,...

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