Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid

Payment Innovation

CMS: Innovation Center Key to APM, MACRA Implementation Success

January 6, 2017 - In a recent official blog post, CMS Acting Principal Deputy Administrator Patrick Conway, MD, highlighted the federal agency’s Innovation Center’s successes with alternative payment model development, especially as MACRA implementation continues. “Today, based on the successful work of the CMS Innovation Center and countless public and private sector partners, we can now...


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How to Scale Healthcare Bundled Payments throughout Hospitals

by Vera Gruessner

Healthcare bundled payments are a key strategy across the industry aimed at boosting patient health outcomes, improving the quality of care, and bringing reimbursement toward a value-based payment model. While the Centers for Medicare & Medicaid...

Why Physicians, Patients are Choosing Concierge Medicine

by Vera Gruessner

As the healthcare insurance industry moves toward pay-for-performance and value-based care reimbursement, many physicians and patients are seeking differing ways to work toward improved care and decreased costs. Some patients are finding the...

Medicare Home Health Agencies Face Upcoming Payment Changes

by Jacqueline DiChiara

The Medicare home health prospective payment system (HH PPS) can expect payment changes next year, confirms an announcement from the Centers for Medicare & Medicaid Services (CMS). These payment changes aim to ensure greater payment...

CMS Announced Success of Primary Care Transformation Pilots

by Ryan Mcaskill

The success of two pilot programs that focus on primary care transformation has CMS hopeful for prolonged change. To meet the quickly changing healthcare landscape, a number of organizations are running pilot programs to experiment with new payment...

New Pilot Program Bundles Cancer Care Payment

by Ryan Mcaskill

MD Anderson and UnitedHealthcare have launched a new pilot program for bundled cancer care payments. There is no question that paying ongoing care can be a challenge for some patients, even with insurance. Patients dealing with cancer, for example,...

Governors Discuss State Innovation Model Initiative Funding

by Ryan Mcaskill

Officials from several states have spoken about the share of $665 million in government funding received in the SIM initiative. Earlier this week, the Department of Health and Human Services (HHS) announced $665 million in government funding...

Will Apple Pay Impact the Healthcare Payer, Provider Market?

by Ryan Mcaskill

While retailers and banks are already onboard, the healthcare market could be slow to adopt payment innovation. Health care technology has been evolving at a lightning pace in recent years and it seems as if every tech company wants to get involved....

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