Accountable Care Organizations Lower Costs Compared to HMOs, PPOs
Commercial accountable care organizations (ACOs) in California are outperforming two common provider network arrangements in terms of care quality and total cost of care, according to a recent analysis...CBO: Single-Payer System to Impact Provider Pay, Physician Shortage
In a new report, the Congressional Budget Office (CBO) says establishing a single-payer healthcare system would involve substantial changes to coverage, provider payment rates, and financing methods,...Providers, Execs Applaud Medicare’s Primary Cares Initiative
Provider groups and healthcare executives are on board with Medicare’s new Primary Cares Initiative, which will shift primary care from fee-for-service to at-risk value-based reimbursement models...HHS Launching Direct Contracting Payment Models for Primary Care
HHS recently announced that CMS will launch the Primary Cares Initiative in 2020, which will give about one in four primary care providers the opportunity to receive value-based reimbursement and...48 States Running Value-Based Reimbursement, Care Initiatives
Forty-eight states have implemented value-based reimbursement or care programs as of February 2019, representing a seven-fold increase compared to five years ago, a new Change Healthcare study...5 Care Coordination Strategies for Medicare ACO Success
Embedding care managers in the emergency department, establishing networks of high-performing skilled nursing facilities, and home visits are strategies accountable care organizations (ACOs) are using...What Independent Practices Need to Thrive Under Value-Based Care
Providers and owners of independent practices often view value-based care as a trojan horse. Value-based care promises to improve care quality and lower costs compared to fee-for-service, but...New Online Tool Helps Providers, Payers with APM Implementation
The Health Care Payment Learning & Action Network (LAN) recently launched an interactive, online tool that aims to help providers, payers, and other healthcare stakeholders identify the challenges...Hospitals Could Lose Up to $4.1B Under Medicaid Work Requirements
Medicaid work requirements would reduce hospital revenue between $3.7 billion to $4.1 billion in 2019 alone, according to a recent analysis by the Commonwealth Fund. Hospitals in over a dozen states...Does Consumerism in Healthcare Undermine Patient-Centered Care?
The customer is always right in in most industries. But industry experts from the Hastings Center are saying the maxim does not and should not apply to providers despite the consumerism in healthcare...Prescription Drug Costs Challenge Value-Based Care in Oncology
Approximately 57 percent of community oncologists in value-based care models identified prescription drug costs as their top challenge with alternative payment model success, a recent survey...Medicare Public Option Would Cut Hospital Reimbursement by $774B
A new report shows implementing a Medicare public option would decrease hospital reimbursement by $774 billion over a ten-year period, representing a ten percent reduction in payments. The report,...White House Proposes $845B in Medicare Spending Cuts
President Trump’s budget proposal for the 2020 fiscal year is requesting a tightening of the purse strings for HHS, including $845 billion in Medicare spending cuts over the next decade. The...Make Value-Based Reimbursement Implementation Easier, AMGA Says
Promoting the implementation of risk- and value-based reimbursement models is key to reducing healthcare costs in the US, AMGA recently told policymakers. “The rising cost of healthcare in this...Sponsored by MD Clarity
The Benefits of a New Revenue Cycle Paradigm
Technology is enabling patients and providers to connect in an unprecedented manner. The Internet, smartphones, wearables, and other technologies are allowing for instantaneous communication between...Sponsored by MD Clarity
