Quality Of Care

How Will the Value-Based Payment Modifier Impact Quality

by Jacqueline DiChiara

The Centers for Medicare & Medicaid (CMS) posted results this week from first-year implementation of the Value-based Payment Modifier (VM), which rewards physicians who provide economical and...

Feb. 20: Week That Was in Healthcare Fraud, Malpractice

by Jacqueline DiChiara

Here is a general roundup of the past week’s developments in healthcare fraud and malpractice, as reported by the Department of Justice. The crimes reported below result in multiple millions of...

Price Variations in Healthcare Have Financial Consequences for Providers

by Stephanie Reardon

Study shows a 313 percent difference in cost depending on the market in which the procedure took place. If a patient is in need of new knees or hips, they may shop around for the most cost-saving...

California Nurses Fight for Increased Quality of Care, Reimbursement

by Stephanie Reardon

CNA seeks to increase pay for registered nurses and nurse practitioners by 14 percent over the next three years. A two-day nursing strike scheduled for January 21 and 22, 2015 has been cancelled after...

Are Healthcare Quality Measures ‘Over-Built?’

by Ryan Mcaskill

In an open letter to CMS, MedPAC warns that the sheer number of quality measures could be creating problems. Healthcare quality measures have become a major priority in recent years for many hospitals....

CMS Provides Clarity on $840M Quality Care and Cost Initiative

by Stephanie Reardon

CMS clarified the enrollment process for a quality care and cost initiative, and answer questions before the application process ends on February 5, 2015. In October, 2014 the Department of Health and...

Proper Measures Needed to Close Accountable Care Service Gaps

by Ryan Mcaskill

A new study examined accountable care measures for innovative treatment approaches and specialty forms of care. Recently, the National Pharmaceutical Council and Discern Health examined the accountable...

HHS Announces $840M initiative to Lower Costs and Improve Care

by Ryan Mcaskill

The Transforming Clinical Practice Initiative aims to rethink and redesign health practices on multiple levels. Today, the Department of Health and Human Services announced a new initiative that will...

CMS Unveils Medicare Quality Improvement Initiatives

by Elizabeth Snell

The Centers for Medicare and Medicaid Services (CMS) announced two new Medicare quality improvement initiatives yesterday. The agency said that it will expand and strengthen its Five Star Quality Rating...

ACO payment reform proposed in new legislation

by Elizabeth Snell

Two state representatives introduced legislation earlier this month in an effort to further advance the progress of Accountable Care Organizations (ACOs). Representatives Diane Black (R-TN) and Peter...

NCCPA head: Value-based care not new to physician assistants

by Elizabeth Snell

Moving from fee-for-service to value-based care is a significant change for healthcare organizations and providers. However, this is common practice for physician assistants (PAs), according to an...

How collaboration can push healthcare reform forward

by Elizabeth Snell

In an effort to improve patient care across Pennsylvania healthcare facilities, Capital BlueCross and the Health Care Improvement Foundation (HCIF) joined together to create a collaborative – the...

Why is morale still high among over-extended physicians?

by Elizabeth Snell

One of the main goals of recent healthcare initiatives and reforms is to ensure that people across the country will have the ability to gain access to proper medical care. However, if a recent survey is...

VA proposes higher pay for agency’s physicians and dentists

by Elizabeth Snell

The Department of Veterans Affairs (VA) announced on Wednesday its proposal for increased pay ranges for VA physicians and dentists. The proposal is for increases of $20,000 to $35,000 annually for...

Summary of FY 2015 Hospice Payment Rate Update

by Elizabeth Snell

On Friday, August 22, 2014, the Centers for Medicare & Medicaid Services (CMS) released the 2015 Hospice Payment Rate final rule, which covers hospice payment rates and the 2015 wage index. The...

How personalized preventative care reduces Medicare spending

by Elizabeth Snell

A primary care model that focuses on personalized preventive medicine can reduce Medicare Advantage spending, according to a recent report published in the American Journal of Managed Care...