Quality Of Care

Are Federal Value-Based Care Programs Truly Promoting Value?

by Jacqueline LaPointe

In a statement to the House Ways and Means Health Subcommittee, the American Hospital Association (AHA) argued that Medicare value-based reimbursement programs, particularly pay-for-performance...

HHS Awards $100M to Health Centers for Quality Improvement

by Jacqueline LaPointe

The Department of Health and Human Services recently granted over $100 million in awards to 1,304 health centers across the nation to help improve care quality and boost primary care services, according...

CMS Details Rationale Behind Hospital Quality Ratings

by Jacqueline LaPointe

Just as consumers rate restaurants on Yelp.com on a scale of one to five stars, CMS has published star ratings for healthcare facilities on its Hospital Compare website to boost healthcare...

Healthcare Transparency Bill Proposes to Delay Star Ratings

by Jacqueline LaPointe

Two House Representatives, Jim Renacci (R-OH) and Kathleen Rice (D-NY), have recently introduced a healthcare transparency bill that would require CMS to delay the release of new hospital star ratings...

CMS Selects 200 Groups for Value-Based Care Oncology Model

by Jacqueline LaPointe

The Centers for Medicare and Medicaid Services (CMS) has announced that almost 200 physician groups and 17 health insurance companies will join the Oncology Care Model, a value-based care program...

AHA Seeks Changes to Post-Acute Care Medicare Reimbursement

by Jacqueline LaPointe

The American Hospital Association (AHA) has called on the Centers of Medicare and Medicaid Services (CMS) to revise proposed Medicare reimbursement reforms for two post-acute care models. In separate...

Federal Court Denies FTC’s Request to Stop IL Hospital Merger

by Jacqueline LaPointe

A federal judge has struck down the Federal Trade Commission’s (FTC) request to halt a proposed hospital merger between two Chicago-based healthcare organizations, reported the American Hospital...

Providers Prioritize Quality Care, Not Lower Healthcare Costs

by Jacqueline LaPointe

By now, many healthcare providers are partaking in some form of value-based care, which aims to foster quality care while reducing healthcare costs. To achieve this, value-based care relies on care...

House Requests CMS Delay Quality, Value-Based Care Ratings

by Jacqueline LaPointe

A group of 225 members of the House of Representatives recently wrote a letter urging CMS it to delay the release of the hospital star rating system because it does not include relevant quality measures...

Payment Reform Strengthens Patient-Centered Medical Home

by Vera Gruessner

The health payer industry and the federal government including the Centers for Medicare & Medicaid Services (CMS) have positioned hospitals, clinics, and medical practices to adopt necessary...

How Provider Interaction Reduces Claims Reimbursement Waste

by Jacqueline DiChiara

Reducing claims reimbursement waste demands a closer look at the inner workings of the medical billing environment and how to improve provider interactions. A lack of communication may be a leading cause...

AHA: Hospital Quality Star Rating System Needs Improvement

by Sara Heath

In an effort to measure hospital and patient care quality, the Centers for Medicare & Medicaid Services (CMS) has introduced the Hospital Quality Star Rating System. However, according to a recent...

Primary Care Providers Benefit from Large ACA Donations

by Sara Heath

The Department of Health & Human Services (HHS) has allocated $500 million in Affordable Care Act (ACA) funding to aid health centers and increase primary care services, according to a recent press...

Value-Based Incentives Top Practice in Reimbursement Model

by Sara Heath

Value-based incentives may be gaining momentum as integral parts of physician reimbursement models. A recent survey by Sullivan, Cotter, and Associates confirms that using quality-based incentives and...

SNFs to Receive Funds Via Proposed Rural Healthcare Bill

by Sara Heath

New legislation may be able to alleviate the healthcare and Medicare costs that have for so long caused issues regarding access to care in rural areas. Skilled nursing facilities (SNFs) may see an...

CMS Approves Press Ganey to Administer PQRS CAHPS Survey

by Sara Heath

On July 27, 2015, Press Ganey Holdings, Inc. announced in a press release that it will be one of the vendors approved by the Centers for Medicare & Medicaid Services (CMS) to administer the...

HIMSS: Providers Awaiting SGR Repeal Seek Interoperability

by Jacqueline DiChiara

Following the House's recent decision to pass the "doc-fix" bill to permanently repeal the sustainable growth rate (SGR) formula by a vote of 392 to 37, the healthcare industry...

Value-Based Care Transition Begins with Physician Engagement

by Jacqueline DiChiara

Physician engagement is the key to improving how the American healthcare system performs in 2015 in regards to a smooth value-based care transition, according to The Advisory Board Company’s Annual...

CMS Report Details Impact of Widespread Quality Measures

by Jacqueline DiChiara

Centers for Medicare and Medicaid Services (CMS) announces the release of a new CMS report, the 2015 National Impact Assessment of Quality Measures Report, a comprehensive assessment of CMS’...

ProMedica Details Successes in Supply Chain Management

by Jacqueline DiChiara

As the healthcare industry continues to advance and thrive, the most prominent organizations perpetually pursue effective supply chain management through the execution of three innovative methods: waste...