As the pendulum swings away from the realm of fee-for-service and into the sphere of fee-for-value, the healthcare industry enters a transitional state where the status quo is becoming merely old news....
The largest ever proposed health insurance merger perhaps falls short. Anthem, Inc announced its submission this week of a highly conditional, non-binding $53.8 billion proposal, including debt, to...
The fastidious partnership of financial incentive and risk is a delicate balancing act the healthcare industry is now increasingly pressured to perfect. As the healthcare system expediently swings away...
The game of Risk is more than just a generally entertaining board game about world supremacy. It is also a critical game healthcare providers, payers, and hospital executives play daily regarding their...
Established payment algorithms of Accountable Care Organizations (ACOs) are up for review. Following a hearty cache of recently proposed physician fee schedules and payment policies, the...
The Centers for Medicare & Medicaid Services (CMS) announces a final rule updating the Medicare Shared Savings Program. The primary objective of CMS’s actions is to promote high...
Accountable care organizations (ACOs) and accountable care models have existed on the forefront of the healthcare industry as an emerging and dynamic focus for healthcare providers, payers, and...
Accountable care organizations (ACOs) are on the tip of many a healthcare executive’s tongue.
There is often a comfort and ease to the idea of reflection within the healthcare industry,...
Accountable care organizations (ACOs) necessitate the recognition of collective accountability for a distinct population’s cost and quality of care. Although they may be slowly on the rise within...
Leading healthcare organizations are actively demanding the Centers for Medicare & Medicaid Services (CMS) step up its Next Generation Accountable Care Organization (ACO) Model financial...
The number of accountable care organizations (ACOs) is on the rise, albeit a tad slowly, confirms new research from Niyum Ghandi, Partner at Oliver Wyman.
There has been active ACO expansion...
Get ready for the largest and most important healthcare IT conference of the year -- the 2015 HIMSS Annual Conference & Exhibition.
These highlighted sessions offer valuable insight into the realm...
The dawn of 2015 for the healthcare industry began with the Centers for Medicare & Medicaid Services (CMS) announcing an additional 89 provider organizations enrolling in the Medicare Shared Savings...
The Department of Health and Human Services (HHS) Secretary Sylvia M. Burwell met with President Obama to launch the Health Care Payment Learning and Action Network. An estimated 2800 payers, providers,...
The Centers for Medicare and Medicaid Services (CMS) Innovation Center recently revealed plans for a new payment initiative – the Next Generation Accountable Care Organization (ACO) Model –...
As physician practices continue to utilize new healthcare payment models to increase quality and decrease costs, they are actively struggling. The way physicians and health professionals are paid by the...
As the healthcare reimbursement shifts from volume to value progresses, many practices are actively reviewing their current compensation plans in connection to accountable care and similar models....
The Center for Medicare and Medicaid (CMS) Innovation Center revealed plans earlier this month for a new examination of accountable care with larger financial risk for hospitals and doctors and more...
As the direction of various payment models evolve, payers are focusing on a variety of focuses and objectives. Effective physician engagement may require a stronger focus on specialist engagement,...
The Department of Health and Human Services (HHS) has announced its latest initiative for the Centers for Medicare & Medicaid Services’ Innovation Center (CMS Innovation Center), the Next...
