Value-based Care

AMA Backs CMS Diabetes, Legacy Value-Based Purchasing Changes

by Jacqueline LaPointe

The American Medical Association (AMA) recently commended CMS for several recommendations outlined in the recently proposed 2018 Physician Fee Schedule rule. The industry group particularly welcomed a...

Understanding the Top 10 Terms of Value-Based Purchasing

by Jacqueline LaPointe

Whether providers favor it or not, the healthcare industry is inevitability moving to value-based purchasing. CMS reported in 2016 that Medicare already linked 30 percent of traditional...

Small Hospitals, Systems Grapple with Value-Based Reimbursement

by Jacqueline LaPointe

Approximately 67 percent of small hospitals and health systems do not plan on undertaking value-based reimbursement initiatives in 2017, a recent Ernst & Young LLP Advisory Health survey...

Core Competencies for Accountable Care Organization Development

by Jacqueline LaPointe

The National Business Group on Health (NBGH) recently identified the core competencies accountable care organizations (ACOs) should have at each stage of its development. The two resources from NBGH...

GAO: Hospital Value-Based Purchasing Model Rewards Low Quality

by Jacqueline LaPointe

A new Government Accountability Office (GAO) report found that CMS gave financial bonuses to hospitals participating in the Hospital Value-Based Purchasing Program despite the facilities earning...

Payer Collaboration Key to Value-Based Reimbursement Strategy

by Jacqueline LaPointe

Value-based reimbursement arrangements come in a myriad of shapes and sizes much like provider organizations. But successful value-based contracts will align provider and payer goals for care quality...

Implementing Value-Based Healthcare Revenue Cycle Management

by Jacqueline LaPointe

To align healthcare revenue cycle with value-based reimbursement, healthcare organizations should start by breaking down clinical and financial siloes established by fee-for-service payment models,...

Execs To Continue Value-Based Purchasing Despite Uncertainty

by Jacqueline LaPointe

Despite a possible Affordable Care Act repeal, healthcare executives still plan to stay the course with value-based purchasing implementation and healthcare cost reduction initiatives, a recent BDC...

Engaging Providers Key to Value-Based Reimbursement Adoption

by Jacqueline LaPointe

Nearly three-quarters (73 percent) of providers prefer a fee-for-service model over value-based reimbursement structures even though almost one-half acknowledged that the traditional payment model...

AMGA President, CEO Donald W. Fisher, PhD, Passes at 71

by Jacqueline LaPointe

AMGA President and CEO, Donald W. Fisher, PhD, CAE, passed earlier this week after battling cancer, the healthcare industry group reported. Fisher, who was 71 years old, had led the organization since...

Best Practices for Value-Based Purchasing Implementation

by Jacqueline LaPointe

The value-based purchasing boat is leaving the dock and providers can either choose to board and shift their care delivery and reimbursement methods to align with the push for value or be left behind. Value-based purchasing made a splash...

How to Prepare for Alternative Payment Model Implementation

by Jacqueline LaPointe

Implementing interoperable health IT infrastructure and a staffing model that aligns with value-based care requirements are key to successfully participating in an alternative payment model, Marjie...

NAM Advises Leaders to Prioritize Value-Based Purchasing Reform

by Jacqueline LaPointe

In a new report, the National Academy of Medicine (NAM) named value-based purchasing as one of four action priorities for healthcare stakeholders in 2017. To implement more value-based purchasing...

MedPAC Targets Post-Acute Care for Healthcare Payment Reform

by Jacqueline LaPointe

In its March 2017 report to Congress, the Medicare Payment Advisory Commission (MedPAC) pinpointed post-acute care for healthcare payment reform after Congressional and CMS inaction resulted in as much...

Senate Confirms Seema Verma as Next CMS Administrator

by Jacqueline LaPointe

In a 55 to 43 vote yesterday, the Senate confirmed Seema Verma as the next CMS Administrator, according to a New York Times article. Verma, the founder, president, and CEO of a health policy...

AHA, FAH Oppose Proposed Physician Self-Referral Law Changes

by Jacqueline LaPointe

The American Hospital Association (AHA) and the Federation of American Hospitals (FAH) recently urged lawmakers to oppose a proposed bill that would extend physician self-referral allowances to...

46% of Providers Unsure About Value-Based Purchasing Impact

by Jacqueline LaPointe

Value-based purchasing is not a new term for many providers, yet 46.4 percent of healthcare providers and leaders are still unsure how the shift away from fee-for-service payments will impact their...

Higher Hospital Costs Stem from ICU Overuse for Some Conditions

by Jacqueline LaPointe

Healthcare providers may be able to decrease hospital costs by avoiding ICU admissions for some patients with chronic obstructive pulmonary disease (COPD), exacerbation of heart failure (HF), and acute...

65% of Organized Providers Paid Via Alternative Payment Models

by Jacqueline LaPointe

Nearly two-thirds of healthcare providers in some type of integrated employment model, such as integrated health networks, physical hospital organizations, accountable care organizations, and large...

Coalition Offers CMMI, Alternative Payment Model Improvements

by Jacqueline LaPointe

Thirty-five healthcare industry groups recently banded together to offer the newly-approved Department of Health and Human Services (HHS) Secretary a set of guidelines for CMS Innovation Center (CMMI)...