Long-term and post-acute care providers cannot move forward with value-based payment implementation without the support of technology, according to a recent Black Book Research survey.
The survey of...
A value-based purchasing program run by CMS has been credited with the drop in 30-day hospital readmission rates through 2014. But a new analysis led by researchers at Harvard Medical School offers an...
Healthcare spending is unsustainable and risk-based payment models are one of the ways to address that problem.
Neither of these concepts are new to the healthcare community and have been around for...
A proposed bundled payment model for radiation oncology cold underestimate payments for prostate cancer, a new analysis from Avalere, finds.
The healthcare consulting firm based in...
For over a decade, the healthcare industry has been shifting provider reimbursement from a fee-for-service system to one based on the value of services provided to patients, and new payment models have...
More hospitals will share in incentive payments under Medicare’s Value-Based Purchasing Program in the 2020 fiscal year (FY) than will receive penalties, according to a new CMS announcement.
The...
Despite aiming to reduce costs and help consumers shop for quality, affordable medical services, healthcare price transparency tools in Massachusetts are not working as intended, according to a new...
The healthcare industry is slowing phasing out fee-for-service payments for alternative payment models (APM), according to the latest APM Measurement Effort report from the Health Care Payment Learning...
The number of states with Medicaid managed care requiring value-based reimbursement as part of the public healthcare program increased from 22 out of 39 states in 2017 to 28 out of 40 states by 2019, a...
ACEP, an association representing 40,000 emergency physician members, developed and submitted the Acute Unscheduled Care Model (AUCM) to HHS’ Physician-Focused Payment Model Technical Advisory...
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...
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...
In a fact sheet created on Sept. 27, CMS announced that Advanced Alternative Payment Model (APM) bonus payments for participation in an approved model in 2017 will be going out to qualifying clinicians...
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...
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...
Accountable care organization (ACOs) in the Medicare Shared Savings Program saved $739.4 million in 2018 after accounting for shared savings and losses that year, according to program data released by...
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...
Dialysis centers, major health systems, and other industry stakeholders are calling on CMS to reconsider a proposed end-stage renal disease (ESRD) model that will put providers at risk for at-home...
Reimbursement inadequacy, timeliness of data, and access to data are preventing hospitals and health systems from moving to risk-based payment, according to a recent survey from healthcare improvement...
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...
