Value-Based Care News

Some Alternative Payment Models Are Improving Behavioral Health

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Alternative payment models (APMs) are taking steps to improve behavioral health, but the models need more to make large strides, according to a study from the University of Washington and Harvard...

Value-Based Incentives Didn’t Reduce Hospital-Acquired Infections

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Two of Medicare’s value-based incentive programs did not improve the levels or trends of certain hospital-acquired infections, potentially widening the gap between safety-net and non-safety-net...

Banner Health Adopts Cerner’s Revenue Cycle Management Product

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Banner Health and Cerner recently expanded their partnership to implement an end-to-end comprehensive suite of revenue cycle management (RCM) solutions and drive population health...

Amazon Launches Health Centers to Boost Employee Access to Care

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Amazon and Crossover Health launched a healthcare pilot to establish local, convenient health centers near Amazon fulfillment centers and boost access to care for employees and their families. The...

AMGA Calls for Medicare Shared Savings Program Changes Amid COVID-19

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CMS should keep the 2021 application cycle for the Medicare Shared Savings Program (MSSP) open and implement other changes to the program to protect providers from excessive costs incurred during the...

Medicaid Alternative Payment Model Reduces Imaging, Costs

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A Medicaid alternative payment model in Oregon reduced utilization of imaging and other traditional primary care services among community health centers by about 42 percent, according to an Oregon...

Standalone ACOs Saved More Than Hybrid Medical Home Models

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Accountable care organizations (ACOs) and patient-centered medical homes (PCMHs) both saved money compared to standard care, but combining the alternative payment and care delivery models did not lead...

CMS Releases Initial Report on Risk-Based Bundled Payment Model

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Hospitals and physician group practices (PGPs) participating in the first two cohorts of the Bundled Payments for Care Improvement (BPCI) Advanced have a good chance of reducing episode payments....

CMS: Value-Based Reimbursement Key to Addressing Health Disparities

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Article updated 06/24/2020 to include a statement from the National Association of ACOs. Health disparities proven by Medicare claims data during the COVID-19 crisis underscore the need to transition...

How Value-Based Payments Support Physicians During a Crisis

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More practices are going to want to get their revenue through value-based payments following the COVID-19 pandemic, according to heart failure cardiologist Sanjay Doddamani, MD. The pandemic has shown...

ACOs Can Grow Value-Based Payment in Medicare, But Changes Needed

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With Medicare spending growing at an unsustainable rate, the Medicare Payment Advisory Commission is advising Congress to accelerate the transition to value-based payment, using accountable care...

Coronavirus May Reshape Investment, Value-Based Reimbursement

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Investment strategies and value-based reimbursement models will change as organizations continue to combat the coronavirus and move towards the future, according to insights from the Value-Based Care...

CareMount’s Foundation for Accountable Care Organization Savings

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In CareMount Health Solutions’ first year as an accountable care organization (ACO) in Medicare’s Next Generation ACO Model, the organization was one of 38 participants to earn shared...

More Physician Groups Lead Accountable Care Organizations

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There were more physician-led accountable care organizations (ACOs) than hospital-led ACOs by 2018, according to a study from Leavitt Partners. Physician-led ACOs accounted for approximately 45...

ACOs Want Later Dropout Date for Medicare Shared Savings Program

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Accountable care organizations (ACOs) are calling for more support during the coronavirus pandemic, including more time to decide whether to continue participation in the Medicare Shared Savings...

Providers in APMs Had Head Start with Managing COVID-19 Surge

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Healthcare providers participating in alternative payment models leveraged their value-based care capabilities to safely manage the COVID-19 crisis, a new survey showed. For more coronavirus updates,...

ACO Participation Did Not Lower Care Access for Vulnerable Patients

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Physician groups did not reduce their share of vulnerable patients after joining an accountable care organization despite claims of the opposite, a new study from the Perelman School of Medicine...

Providers Say Cost Transparency Will Improve Value-Based Care

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As the healthcare industry continues to move towards value-based reimbursement, providers are calling for increased cost transparency to succeed in these models. Earlier work from Insights...

Clinicians to Earn MIPS Credit for Joining COVID-19 Clinical Trial

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Clinicians earning value-based reimbursement through the Merit-Based Incentive Payment System (MIPS) will be able to earn credit for participating in and reporting information on COVID-19 clinical...