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

Value Based Care

Why Value-Based Care Yields Lower Cost, Higher Quality Care

by Jacqueline DiChiara

Value-based care is in the lead compared to its fee-for-service competitor, according to Humana’s new Medicare Advantage population health results. “Members treated under the care of providers in value-based reimbursement models with...

Top 4 Strategies to Achieve Affordable Value-Based Care

by Jacqueline DiChiara

Value over volume is the name of the revenue cycle game, with the reimbursement concept of “less is more” taking precedence. With the transition to value-based care underway, here are some top collected strategies for healthcare providers...

KLAS Research Assesses Providers’ Value-Based Care Focus

by Jacqueline DiChiara

Healthcare providers must balance needs versus capabilities in the midst of stark competition, according to a newly released KLAS performance report. KLAS’s research assesses the overall effect of both value-based care consulting and...

Humana Pays Physician Groups $77M for Value-Based Outcomes

by Jacqueline DiChiara

As the fee-for-service realm dissipates and the value-based reimbursement model nears its completed transition in coming years, Humana is granting sizable financial rewards for those physician groups yielding quality care outcomes....

3 Strategies to Innovatively Advance Emergency Care Delivery

by Jacqueline DiChiara

The simple concept of value is a missing piece of the emergency department (ED) care spectrum puzzle, according to key findings released within Press Ganey’s white paper survey of over 1 million patients. Through the execution of numerous...

Why Medicare Reform Means Maintaining Low Cost, Readmissions

by Jacqueline DiChiara

Medicare reform must boldly empower seniors to better control their healthcare spending, according to an October report from Devon M. Herrick, PhD, Senior Fellow at the National Center for Policy Analysis. Herrick presents a tri-fold...

CMOs, CFOs Collectively Identify Value-Based Impediments

by Jacqueline DiChiara

Chief medical officers (CMOs) and chief financial officers (CFOs) must effectively collaborate – both individually and mutually – to combat the healthcare industry’s profound complexity and intricacy, confirms an October report...

Considering MACRA’s Effect on Future Meaningful Use Changes

by Jacqueline DiChiara

The Department of Health and Human Services (HHS) has confirmed a 60-day period of public commentary regarding the Stage 3 Electronic Health Record (EHR) incentive program and the Medicare Access and CHIP Reauthorization Act of 2015...

How to Achieve Value Within the Value-Based Care Transition

by Jacqueline DiChiara

The Department of Health and Human Services (HHS) is on a mission to associate 90 percent of Medicare payments to value within the next three years and Congressional passage of the Medicare Access and CHIP Reauthorization Act of 2015...

Do Physician Leaders Value Top Quality, Low-Cost Healthcare?

by Jacqueline DiChiara

Physician leaders are actively advocating to more tightly weave value into the fabric of the healthcare industry via a simple yet intricate concept: keep care quality high and cost low. According to a new survey from the American...

HHS Announces $685M Awards in Patient-Centered Clinician Aid

by Jacqueline DiChiara

The Department of Health and Human Services (HHS) is on a mission to improve the quality of healthcare, advance patients’ information accessibility, and decrease expenses across the industry. According to today’s announcement from...

Why Patient Experience Needs Transparency, Not Transactions

by Jacqueline DiChiara

Is the art of delivering high quality healthcare – a field based upon the caring of patients during their most physically, emotionally, and spiritually arduous times – becoming too transactional? Is the simple goal of merely...

Senators Praise CMMI’s Value-Based Insurance Design Testing

by Jacqueline DiChiara

The Center for Medicare & Medicaid Innovation’s (CMMI) efforts to minimize healthcare costs and maximize healthcare outcomes through healthcare reform testing demonstrations are generating praise from senators this week, according...

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 quality metrics are becoming more prevalent...

CMS: Medicare ACOs Boost Care Quality, Yield Shared Savings

by Jacqueline DiChiara

Medicare Accountable Care Organizations (ACOs) – collaborative groups of physicians, hospitals, and other healthcare providers who voluntarily unite to help provide better coordinated care – are collectively advancing Medicare beneficiaries’...

CMS’s Clinical Quality Measures a Top Healthcare Priority

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) has contracted with Yale-New Haven Health Services Corporation/Center for Outcomes Research and Evaluation (CORE) and Lantana Consulting Group to develop Overall Hospital Quality Star Ratings...

Are BHI and CCM Cost Effective Standards for Patient Care?

by Sara Heath

Behavioral health integration (BHI) is becoming increasingly important as physical health and mental health are being viewed as equally important to a patient’s overall health. However, in addition to examining the benefits of BHI, it might...

Accountable Care NY Agreement Expands Value-Based Healthcare

by Jacqueline DiChiara

A notable Accountable Care arrangement and collaboration was announced yesterday between North Shore-LIJ Health System and Empire BlueCross BlueShield that will provide over 33,000 commercial and Medicare Advantage members in New York with value-based...

ACA Community Health Center Funds Increase Quality of Care

by Sara Heath

Under the Affordable Care Act (ACA), community health centers have seen tremendous growth, receiving funding to expand their services and healthcare sites to provide help to more individuals who may otherwise go without care. In honor of National...

Risk-Value-Based Payment Programs a Return on Investment?

by Jacqueline DiChiara

Value-based payment readiness is apparently an area of weakness for senior financial executives, reports an executive survey from the Healthcare Financial Management Association (HFMA) and Humana. An analysis of return on investment (ROI), readiness...

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