Physician Practices Trail Hospitals in Value-Based Care Readiness
Small, non-affiliated physician practices fall behind hospitals and health systems when it comes to value-based contracting, found the Value-Based Care Assessment: 2020, the latest report from Insights...CMS to Expand Home Health Value-Based Purchasing Model
CMS is planning to expand a value-based purchasing model that rewards home health agencies for high-quality care and saves Medicare money. The federal agency announced on Jan. 8 via email that it...Fee-For-Service Payments Still an Issue in VT All-Payer ACO Model
Reimbursing accountable care organizations (ACOs) for value in a primarily fee-for-service payment environment is creating implementation challenges for Vermont’s innovative All-Payer ACO Model,...Making Data Sharing A Condition in Value-Based Contracts
Healthcare data sharing is central to a successful value-based care strategy, according to Jamie Reedy, MD, MPH, chief of population health for Summit CityMD. “If the physicians and care...Payers, Providers Need Data to Talk Value-Based Care
The definition of value is evolving, and so are the capabilities needed to support the transition to value-based care, industry experts recently shared at Xtelligent Healthcare Media’s...HHS Overhauls Key Healthcare Fraud Laws to Advance Value-Based Care
After years of debate, HHS agencies have made changes to two major healthcare fraud, waste, and abuse laws that providers have said get in the way of value-based care progress. Late last week, CMS and...ACOs, Population-Based APMs Most Effective at Lowering Costs
If CMS aims to lower healthcare costs and improve quality, then the agency should use more population-based alternative payment models, like accountable care organizations (ACOs), according to a new...What Healthcare CFOs Can Expect Under a Biden Presidency
For many voters, the 2020 presidential election was less about red and blue and more about white, as in the white coat. Healthcare was a dominant issue in the race between the incumbent President Donald J. Trump and Democratic runner Vice...Sponsored by Coverys
Transitioning to Value-Based Care While Reducing Risks
Over the next five years, every healthcare organization in the country will face changes in their Medicare reimbursement. With the US federal deficit at an all-time high, healthcare spending makes up...A Unique IPA Centers on Social Determinants of Health
More and more healthcare providers and payers are teaming up with ride-sharing companies, food pantries, and other community-based organizations to address one of the largest drivers of patient...Private Payers Outpace Public Insurance in Value-Based Care Push
Private payers are leading the charge away from fee-for-service reimbursement. These parties are more likely than public payers to participate in value-based reimbursement models, according to the...How Top Accountable Care Organizations Save Year After Year
Accountable care organizations had a record year, according to the latest performance data for the Medicare Shared Savings Program. CMS recently announced that organizations participating in the program – which are otherwise known...Multi-Payer Alignment Key to Advancing Value-Based Care in Medicaid
In a new letter to Medicaid directors, CMS called for multi-payer alignment in value-based care arrangements run by the state healthcare programs. The Sept. 15th letter providers guidance to the...Coronavirus Pandemic Impacts Value-Based Contracts
The coronavirus pandemic highlighted the importance of value-based contracts and reimbursement and will continue to push the industry towards these models of care, according to healthcare stakeholder...CMS Unveils New Value-Based Care, ACO Options for Rural Providers
A new rural health model recently unveiled by CMS will offer rural providers and their communities new funding opportunities to bolster value-based care through capitated payments and accountable care...Banner Health Adopts Cerner’s Revenue Cycle Management Product
Banner Health and Cerner recently expanded their partnership to implement an end-to-end comprehensive suite of revenue cycle management (RCM) solutions and drive population health...Amazon Launches Health Centers to Boost Employee Access to Care
Amazon and Crossover Health launched a healthcare pilot to establish local, convenient health centers near Amazon fulfillment centers and boost access to care for employees and their families. The...Sponsored by Sound Physicians
