Healthcare Definitions News and Resources for Healthcare

Understanding the Basics of Bundled Payments in Healthcare

December 26, 2023 - The shift to value-based care has driven public and private payers to redesign reimbursement models that stress accountability for care quality and healthcare costs. As the fee-for-service environment fades away, alternative payment models like bundled payments are helping to define the future of revenue cycle management. Bundled...

Understanding the Top 10 Terms of Value-Based Purchasing

July 18, 2017 by Jacqueline LaPointe

Whether providers favor it or not, the healthcare industry is inevitability moving to value-based purchasing. CMS reported in 2016 that Medicare already linked 30 percent of traditional...

The Difference Between Medicare and Medicaid Reimbursement

June 09, 2017 by Jacqueline LaPointe

Medicare and Medicaid are government healthcare programs that help individuals acquire coverage, but similarities between the programs more or less end there. Medicare and Medicaid reimbursement structures vary significantly by program and...

Examining the Role of Financial Risk in Value-Based Care

July 25, 2016 by Jacqueline LaPointe

As the healthcare industry ramps up its efforts to advance value-based care, providers are expected to take on more financial risk. One of the goals of value-based care is to transition financial risk...

Examining the Value-Based Alternative Payment Model Basics

February 24, 2016 by Jacqueline DiChiara

Alternative payment models like the accountable care organization (ACO) and the bundled payment model have been gaining popularity under the Affordable Care Act’s (ACA) mandates. Figuring...

Examining Differences Between Medicare, Medicaid Reimbursement

November 04, 2014 by Ryan Mcaskill

While Medicare and Medicaid are similar programs, there offer different challenges when it comes to reimbursement. Medicaid and Medicare services are often lumped together because they are both...

Examining the Basics of the Healthcare Revenue Cycle

October 28, 2014 by Ryan Mcaskill

There are a number of different tasks that go into running a successful healthcare organization. However, regardless of whether you are a multi-location hospital network spread across the country or a...