The American Hospital Association (AHA), Community Oncology Alliance (COA), and other key stakeholders voiced concerns about a mandatory bundled payments model for radiation oncology slated to take...
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...
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...
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...
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...
New York is overcoming the challenges of developing value-based payment models for pediatrics to bring value to the approximately 1.8 million children enrolled in its Medicaid program, according to a...
Using single diagnostic codes and leveraging “present on admission” designations improved Medicare payment models, predicting total patients costs within 30 days of hospitalization better...
While hospital readmissions for targeted diseases fell under Medicare’s Hospital Readmission Reduction Program (HRRP), total hospital revisits within 30 days of discharge increased following...
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...
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...
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...
CMS is planning to overhaul reporting for the Merit-Based Incentive Payment System (MIPS) in order to make the pay-for-performance program less burdensome and more meaningful to providers, according a...
Implementing a mandatory bundled payment model for radiation oncology oversteps CMS authority and could potentially harm cancer patients, the Community Oncology Alliance (COA) stated in response to a...
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...
On July 10, 2019, CMS proposed a mandatory radiation oncology bundled payment model that aims to improve the quality of care for cancer patients undergoing radiotherapy treatment and reduce provider...
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...
Following President Trump’s Advancing Kidney Health executive order, CMS announced one mandatory and four voluntary alternative payment models (APMs) to address chronic kidney disease and...
Hospitals participating in a joint replacement bundled payments model through Medicare saved $997 per episode during the first two performance periods, according to a second annual report on the model...
Value-based payment reform will be the key to lowering healthcare costs and improving care quality, according to health economist Michael Chernew, PhD.
At AHIP’s 2019 Institute & Expo in...
The healthcare industry is moving beyond just the development and adoption of alternative payment models (APMs), according to Aparna Higgins, a former leader at the Health Care Payment Learning and...
