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...
Each stakeholder brings their own definition of value to the table when developing alternative payment models, which incent providers through value-based payments to deliver care that aligns with the...
Accountable care organizations (ACOs) that provided between 40 and 45 percent of office visits through specialists had significantly lower costs compared to ACOs with the lowest and highest specialty...
Accountable care organizations (ACOs) have reduced Medicare spending and improved care quality, but some organizations are doing it better than others, the HHS Office of the Inspector General (OIG)...
Implementing a mandatory bundled payment model for radiation oncology oversteps CMS authority and could potentially harm cancer patients, the Community Oncology Alliance (COA) stated in response to a...
In a speech opposing Medicare for All and single payer proposals, CMS Administrator Seema Verma outlined a different vision for lowering healthcare costs: inserting competition in the healthcare...
At a time when operating income is falling for most hospitals and practices, Atrius Health, Inc., the largest non-profit independent medical group in New England, is reporting a $38.7 million operating...
On July 10, 2019, CMS proposed a mandatory radiation oncology bundled payment model that aims to improve the quality of care for cancer patients undergoing radiotherapy treatment and reduce provider...
HHS recently announced the creation of the Quality Summit, which will bring together federal and private healthcare stakeholders to evaluate and streamline federal value-based care programs.
The...
Following President Trump’s Advancing Kidney Health executive order, CMS announced one mandatory and four voluntary alternative payment models (APMs) to address chronic kidney disease and...
Hospitals participating in a joint replacement bundled payments model through Medicare saved $997 per episode during the first two performance periods, according to a second annual report on the model...
The healthcare industry is moving beyond just the development and adoption of alternative payment models (APMs), according to Aparna Higgins, a former leader at the Health Care Payment Learning and...
Providers are gearing up to participating in risk-based alternative payment models through commercial payers and Medicare, according to a new Navigant analysis based on a survey conducted by the...
NASHVILLE – AHIP’s Institute & Expo (AHIP Institute) conference always promises to bring the top experts from payer organizations to share how their plans and providers are adjusting to...
The Community Oncology Alliance (COA) recently submitted an alternative payment model proposal to the Physician-Focused Payment Model Technical Advisory Committee (PTAC) that builds on the work done by...
In an effort to reduce healthcare disparities, the American Medical Association (AMA) recently vowed to support the creation of new alternative payment models that specifically address the outcomes of...
Accountable care organizations (ACOs) have come a long way since the Affordable Care Act (ACA). Providers have formed over 1,000 ACOs covering over 32 million patients since the law paved the way for...
An association of community oncology practices recently urged CMS to delay the October 2019 deadline for practices in the Oncology Care Model (OCM) to assume downside financial risk.
In a letter to...
CMS’ request for information on a new direct contracting model presents a unique opportunity for financial risk in healthcare, but the “lack of detail makes it difficult for providers to...
Seventy percent of practices in Medicare’s Oncology Care Model (OCM) would owe payments to CMS if they transition to the program’s two-sided financial risk tracks, a new Avalere analysis...
