The number of states with Medicaid managed care requiring value-based reimbursement as part of the public healthcare program increased from 22 out of 39 states in 2017 to 28 out of 40 states by 2019, a...
The introduction of Pathways to Success may behind falling accountable care organization (ACO) participation numbers, according to researchers from Leavitt Partners and the Duke-Margolis Center for...
ACEP, an association representing 40,000 emergency physician members, developed and submitted the Acute Unscheduled Care Model (AUCM) to HHS’ Physician-Focused Payment Model Technical Advisory...
Physician-led accountable care organizations (ACOs) in the Medicare Shared Savings Program (MSSP) produced nearly seven times the savings per beneficiary than hospital-led ACOs, a new analysis...
Accountable care organization (ACO) success was no stranger to physicians at Advocate Health Care and Aurora Health Care. Now that the two major health systems are combined, the new...
In a fact sheet created on Sept. 27, CMS announced that Advanced Alternative Payment Model (APM) bonus payments for participation in an approved model in 2017 will be going out to qualifying clinicians...
Healthcare providers and other industry leaders are still facing significant challenges with value-based care adoption, but provider incentives and market consolidation could help accelerate the...
Accountable care organization (ACOs) in the Medicare Shared Savings Program saved $739.4 million in 2018 after accounting for shared savings and losses that year, according to program data released by...
Payer and provider members belonging to a group of leading healthcare stakeholders have increased the amount of business under value-based payments, even surpassing the 50 percent mark by the end of...
Dialysis centers, major health systems, and other industry stakeholders are calling on CMS to reconsider a proposed end-stage renal disease (ESRD) model that will put providers at risk for at-home...
The majority of physicians now participate in an accountable care organization (ACO), the American Medical Association (AMA) recently reported.
Overall, 53.8 percent of physicians polled in September...
More than 90,000 clinicians are still waiting on the 2019 Advanced Alternative Payment Model (APM) bonus payment for their participation in 2017 and nine industry groups are demanding payment from...
The American Hospital Association (AHA), Community Oncology Alliance (COA), and other key stakeholders voiced concerns about a mandatory bundled payments model for radiation oncology slated to take...
A new survey from Johnson & Johnson Medical Devices Companies suggests health system clinicians and executives are moving beyond traditional cost cutting initiatives to address cost pressures and...
New York is overcoming the challenges of developing value-based payment models for pediatrics to bring value to the approximately 1.8 million children enrolled in its Medicaid program, according to a...
HHS recently awarded nearly $107 million to 1,273 health centers across the country to support quality improvement, as well as care efficiency and value-based care, according to an official...
The Medicare Shared Savings Program, which governs the majority of Medicare accountable care organizations (ACOs), and Medicare Advantage are gaining in popularity. But the former is saving taxpayers,...
While hospital readmissions for targeted diseases fell under Medicare’s Hospital Readmission Reduction Program (HRRP), total hospital revisits within 30 days of discharge increased following...
Operating with one foot in fee-for-service and the other in value-based care has created significant administrative burdens for providers, so medical groups are now offering CMS value-based care...
The medical assistant-only model for primary care staffing may be the most cost-effective for practices relying on fee-for-service revenue, but the model will not be able to support value-based care...