Value-based Care

Outsourcing on the Mind as Hospitals Pursue Value-Based Care

by Jacqueline LaPointe

Ninety percent of hospital leaders are considering outsourcing both clinical and non-clinical functions to achieve cost-efficiencies and succeed in value-based care models, revealed a recent Black Book...

CMS Proposes New Exceptions to Stark Law for Value-Based Care

by Jacqueline LaPointe

A rule proposed by CMS earlier today aims to modernize Medicare’s physician self-referral law, which is also known as the Stark Law, in an effort to advance value-based care. The Stark law...

25% of Total Healthcare Spending Attributed to Waste, Study Finds

by Jacqueline LaPointe

Despite initiatives to reduce spending and promote value over volume, a new study showed that the US healthcare system still wasted between $760 billion to $935 billion, representing approximately...

Provider Incentives, M&A to Accelerate Value-Based Care Adoption

by Jacqueline LaPointe

Healthcare providers and other industry leaders are still facing significant challenges with value-based care adoption, but provider incentives and market consolidation could help accelerate the...

Industry Group Ties Half of Business to Value-Based Payments

by Jacqueline LaPointe

Payer and provider members belonging to a group of leading healthcare stakeholders have increased the amount of business under value-based payments, even surpassing the 50 percent mark by the end of...

Price Transparency, Consumerism Top Issues for Healthcare Execs

by Jacqueline LaPointe

Leaders from payer and provider organizations are developing strategies to address rising healthcare costs in 2020 through price transparency and more consumer-focused initiatives, according to...

Improving Patient Outcomes Surpasses Reducing Cost as Top Priority

by Jacqueline LaPointe

A new survey from Johnson & Johnson Medical Devices Companies suggests health system clinicians and executives are moving beyond traditional cost cutting initiatives to address cost pressures and...

Physicians Are Supply Chain Champions at Ochsner Health System

by Jacqueline LaPointe

A physician’s top priority is always to deliver the highest quality care possible to patients. But in an increasingly sophisticated and difficult healthcare market, the providers are now finding...

Verma Presses Hospitals to Assume Risk in Value-Based Care Models

by Jacqueline LaPointe

CMS Administrator Seema Verma urged hospitals on Tuesday to accept new value-based care models and price transparency requirements or face greater administrative burden, less competition, and lower...

Physician-Hospital Integration Increases Costs, Study Finds

by Jacqueline LaPointe

When hospitals acquire physician practices or physicians become employed by hospitals costs rise despite little change in care quality, a new study of physician-hospital integration by experts at Rice...

Healthcare CFOs Look Forward to Value-Based Care, Consumerism

by Jacqueline LaPointe

Chief financial officers are an organization’s financial gatekeeper, looking back at data to understand company performance, set and keep budgets, manage risk, and track cash flow. While these lookbacks ensure the company remains...

HHS Awards $107M to Health Centers for Low-Cost, Value-Based Care

by Jacqueline LaPointe

HHS recently awarded nearly $107 million to 1,273 health centers across the country to support quality improvement, as well as care efficiency and value-based care, according to an official...

Medical Groups Call for Value-Based Care Reforms to Reduce Burden

by Jacqueline LaPointe

Operating with one foot in fee-for-service and the other in value-based care has created significant administrative burdens for providers, so medical groups are now offering CMS value-based care...

Value-Based Care Necessitates Shift in Primary Care Staffing Model

by Jacqueline LaPointe

The medical assistant-only model for primary care staffing may be the most cost-effective for practices relying on fee-for-service revenue, but the model will not be able to support value-based care...

Making APMs Truly Value-Based Through Person-Centered Care

by Jacqueline LaPointe

Each stakeholder brings their own definition of value to the table when developing alternative payment models, which incent providers through value-based payments to deliver care that aligns with the...

Atrius Health Makes the Business Case for Risk-Based Payments

by Jacqueline LaPointe

At a time when operating income is falling for most hospitals and practices, Atrius Health, Inc., the largest non-profit independent medical group in New England, is reporting a $38.7 million operating...

HHS Quality Summit to Examine Federal Value-Based Care Programs

by Jacqueline LaPointe

HHS recently announced the creation of the Quality Summit, which will bring together federal and private healthcare stakeholders to evaluate and streamline federal value-based care programs. The...

Cigna CEO: Healthcare Consumer Experience Key to Transformation

by Jacqueline LaPointe

NASHVILLE - Enhancing the healthcare consumer experience is the task currently in front of healthcare payers and providers, according to David M. Cordani, president and CEO of Cigna...

Interoperability Reform Should Boost Claims Data Access, AMGA Says

by Jacqueline LaPointe

Increased claims data access for providers should be at the heart of new interoperability standards and requirements, AMGA recently stressed in comment letters on two proposed rules from CMS and the...