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...
Accountable care organizations (ACOs) that provided between 40 and 45 percent of office visits through specialists had significantly lower costs compared to ACOs with the lowest and highest specialty...
Accountable care organizations (ACOs) have reduced Medicare spending and improved care quality, but some organizations are doing it better than others, the HHS Office of the Inspector General (OIG)...
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...
Advanced Alternative Payment Model (APM) participation in the Quality Payment Program (QPP) nearly doubled from 2017 to 2018, increasing from 99,076 to 183,306 clinicians, CMS recently reported in an...
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...
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...
NASHVILLE - Enhancing the healthcare consumer experience is the task currently in front of healthcare payers and providers, according to David M. Cordani, president and CEO of Cigna...
The Community Oncology Alliance (COA) recently submitted an alternative payment model proposal to the Physician-Focused Payment Model Technical Advisory Committee (PTAC) that builds on the work done by...
In an effort to reduce healthcare disparities, the American Medical Association (AMA) recently vowed to support the creation of new alternative payment models that specifically address the outcomes of...
Commercial accountable care organizations (ACOs) in California are outperforming two common provider network arrangements in terms of care quality and total cost of care, according to a recent analysis...
Leading provider groups are asking HHS to make the Next Generation accountable care organization (ACO) model a permanent part of Medicare’s largest ACO program: the Medicare Shared Savings...
For the past two years, MACRA has been shifting providers away from fee-for-service to value. But industry leaders still have reservations about MACRA implementation and the law’s value-based...
Medicaid accountable care organizations (ACOs) have not grown as quickly as industry experts anticipated, according to a new report from Leavitt Partners.
ACOs with at least one Medicaid contract...
The Comprehensive Primary Care Plus (CPC+) did not affect total Medicare spending, and the value-based reimbursement program for primary care practices had little impact on service use and care...
