The demise of the fee-for-service model may be unsuccessful in producing the most economically efficient health plans, confirms a new study from HealthPocket. Demonstrating significant findings that are...
The Centers for Medicare & Medicaid Services (CMS) announced a partnering with the state of Rhode Island last Thursday to test a new model for supporting Medicare-Medicaid enrollees by advocating...
The number of accountable care organizations (ACOs) is on the rise, albeit a tad slowly, confirms new research from Niyum Ghandi, Partner at Oliver Wyman.
There has been active ACO expansion...
Financial reform efforts require alignment to reward quality over volume within the realm of health information technology (HIT), confirms a recent report published by Aziz Sheikh, MD, Harpreet S. Sood,...
As the healthcare pendulum swings in the direction of value-based care, recent data suggests it may be swinging more quickly than anticipated away from fee-for-service initiatives, according...
As the direction of various payment models evolve, payers are focusing on a variety of focuses and objectives. Effective physician engagement may require a stronger focus on specialist engagement,...
One year after The Affordable Care Act’s (ACA) implementation, most physicians urge Congress to overturn the legislation after experiencing lower reimbursement, as reported in a recent physician...
The Department of Health and Human Services (HHS) has announced its latest initiative for the Centers for Medicare & Medicaid Services’ Innovation Center (CMS Innovation Center), the Next...
An increasingly digitalized healthcare system has experienced significant telehealth reimbursement changes — even within the past five years — as it becomes more routinely integrated.
The...
One notable trending topic — value-based care — is buzzing among healthcare organizations in recent weeks, especially with more federal healthcare reform going into effect. And recent...
More healthcare providers and payers are embracing value-based reimbursement instead of fee-for-service.
One of the biggest trends in the healthcare industry is the adoption of value-based reimbursement...
Nearly $1 million paid in Medicaid claims for beneficiaries who already had these services paid for through managed care plans.
The New York State Office of the State Comptroller has released an audit...
Experts are calling for physicians to use their power to force a shift to value-based care instead of fee-for-service.
The biggest argument against the widespread fee-for-service healthcare payment...
$60 million awarded to Mass hospitals to improve participation in accountable care organizations.
Over the last few weeks, accountable care organizations have been front and center for a couple...
Over the last few years there has been a significant shift in health care payment models. More patients are looking for ways to save on their bills and providers are adjusting operations to meet the...
Earlier this month, this website examined the Catalyst for Payment Reform’s (CPR) 2014 national Scorecard for Payment Reform. It studied commercial health plans, specifically focusing on value-based...
According to a new report, the role primary care physicians play in the payment side of the health care landscape is becoming more important. The Affordable Care Act is expected to add 25 million...
