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...
The number of accountable care organizations (ACOs) increased roughly fivefold since 2012, but the number of contracts with downside financial risk has remained relatively static, according to a new...
Providers are gearing up to participating in risk-based alternative payment models through commercial payers and Medicare, according to a new Navigant analysis based on a survey conducted by the...
Accountable care organizations (ACOs) have come a long way since the Affordable Care Act (ACA). Providers have formed over 1,000 ACOs covering over 32 million patients since the law paved the way for...
An association of community oncology practices recently urged CMS to delay the October 2019 deadline for practices in the Oncology Care Model (OCM) to assume downside financial risk.
In a letter to...
CMS’ request for information on a new direct contracting model presents a unique opportunity for financial risk in healthcare, but the “lack of detail makes it difficult for providers to...
Seventy percent of practices in Medicare’s Oncology Care Model (OCM) would owe payments to CMS if they transition to the program’s two-sided financial risk tracks, a new Avalere analysis...
Risk-based revenue from medical groups and integrated delivery systems (IDNs) accounted for 56 percent of revenues in federal settings and 28 percent of revenues in commercial settings in 2018,...
Health system and health plan CFOs see healthcare consumerism as one of their top organizational risk management priorities, according to a recent survey conducted by the Deloitte Center for Health...
Financial risk sharing in healthcare led to total costs of care being 3.5 percent lower in 2017, reveals the third edition of the California Regional Health Care Cost & Quality Atlas.
Providers in...
In an effort to promote downside financial risk adoption, accountable care organizations (ACOs) and other providers are calling on the CMS Innovation Center (CMMI) to increase transparency and improve...
Taking on upside and downside financial risk through value-based contracts is still years away, according to healthcare leaders in a recent survey conducted by HealthCare Executive Group (HCEG) and...
Accountable care organizations (ACOs) are part of the foundation of the healthcare industry’s transition to value-based care and purchasing.
Since the passage of the Affordable Care Act (ACA),...
A new survey of more than 500 C-suite executives showed that most organizations are still experimenting with risk-based contracts in healthcare despite having more ambitious goals for implementation by...
“You can't emphasize enough the right setting and the right care,” stressed Peggy Chou, MD, the Senior Medical Director of Performance Excellence of Atrius Health in...
Five major health systems recently entered a value-based contract with Blue Cross and Blue Shield of North Carolina (Blue Cross NC) that will hold them financially accountable for total costs of care...
Eighty-five percent of hospital and health system executives believe the industry is at significant risk for healthcare disruption, and their organizations are preparing their business operations for...
Physician practices are less willing to participate in alternative payment models with downside financial risk compared to four years ago, revealed a new study from the RAND Corporation and the...
Over one-third of accountable care organizations (36 percent) said they are unlikely to continue with the Medicare Shared Savings Program (MSSP) if the proposed overhaul is finalized, a recent survey...
The American Medical Association (AMA), Medical Group Management Association (MGMA), and Health Care Transformation Task Force (HCTTF) are among nine industry groups calling on CMS to reconsider...
