A proposed bundled payment model for radiation oncology cold underestimate payments for prostate cancer, a new analysis from Avalere, finds.
The healthcare consulting firm based in...
For over a decade, the healthcare industry has been shifting provider reimbursement from a fee-for-service system to one based on the value of services provided to patients, and new payment models have...
Late last week, CMS started to accept applications for two new alternative payment models focusing on kidney and primary care, with the latter now facing a delayed implementation.
Both the Kidney Care...
Despite aiming to reduce costs and help consumers shop for quality, affordable medical services, healthcare price transparency tools in Massachusetts are not working as intended, according to a new...
The healthcare industry is slowing phasing out fee-for-service payments for alternative payment models (APM), according to the latest APM Measurement Effort report from the Health Care Payment Learning...
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...
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...
Reimbursement inadequacy, timeliness of data, and access to data are preventing hospitals and health systems from moving to risk-based payment, according to a recent survey from healthcare improvement...
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...
The latest accountable care organization (ACO) participation numbers for the Medicare Shared Savings Program (MSSP) raise concerns for the National Association of ACOs (NAACOS).
In a recent Health...
CMS Administrator Seema Verma urged hospitals on Tuesday to accept new value-based care models and price transparency requirements or face greater administrative burden, less competition, and lower...
For chronic disease patients, having a mental health disorder was associated with higher healthcare costs and resource use, confirms a new study in JAMA Network Open.
The study of hospitalization and...