Exploring Value-Based Payment Models Under Primary Care First
On April 22, 2019, HHS unveiled the Primary Cares Initiative, a program that aims to reduce administrative burdens and enable primary care providers to focus more time on patients while decreasing...Providers, Execs Applaud Medicare’s Primary Cares Initiative
Provider groups and healthcare executives are on board with Medicare’s new Primary Cares Initiative, which will shift primary care from fee-for-service to at-risk value-based reimbursement models...48 States Running Value-Based Reimbursement, Care Initiatives
Forty-eight states have implemented value-based reimbursement or care programs as of February 2019, representing a seven-fold increase compared to five years ago, a new Change Healthcare study...5 Care Coordination Strategies for Medicare ACO Success
Embedding care managers in the emergency department, establishing networks of high-performing skilled nursing facilities, and home visits are strategies accountable care organizations (ACOs) are using...What Independent Practices Need to Thrive Under Value-Based Care
Providers and owners of independent practices often view value-based care as a trojan horse. Value-based care promises to improve care quality and lower costs compared to fee-for-service, but...Quality Measure Change May Impact Medicare ACO Performance
Medicare accountable care organizations (ACOs) performance may suffer after CMS unexpectedly modified a quality measure during the 2018 Medicare Shared Savings Program (MSSP) performance period, the...New Online Tool Helps Providers, Payers with APM Implementation
The Health Care Payment Learning & Action Network (LAN) recently launched an interactive, online tool that aims to help providers, payers, and other healthcare stakeholders identify the challenges...Half of ACOs Consider Exiting MSSP Over New Downside Risk Rules
Accountable care organizations (ACOs) are fairly split on whether or not to exit the Medicare Shared Savings Program (MSSP) under new rules that require downside financial risk adoption sooner, a new...Participation in Advanced Bundled Payments Model Falls 16%
Provider participation in Medicare’s new advanced bundled payments model dropped by about 16 percent in the first five months, according to updated data from CMS. The federal agency recently...MIPS Participation Reached 95% in 2017, Exceeding CMS Goals
Ninety-five percent of eligible clinicians avoided a negative payment adjustment through Merit-Based Incentive Payment System (MIPS) participation in 2017, of which 93 percent earned a positive...Prescription Drug Costs Challenge Value-Based Care in Oncology
Approximately 57 percent of community oncologists in value-based care models identified prescription drug costs as their top challenge with alternative payment model success, a recent survey...Large, Experienced ACOs Assume Downside Financial Risk Sooner
Larger, more experienced accountable care organizations (ACOs) are more likely to assume downside financial risk, according to a recent analysis by Leavitt Partners. ACOs that took on downside...Make Value-Based Reimbursement Implementation Easier, AMGA Says
Promoting the implementation of risk- and value-based reimbursement models is key to reducing healthcare costs in the US, AMGA recently told policymakers. “The rising cost of healthcare in this...Aligning the Medicare Physician Fee Schedule with Value
The healthcare industry is committed to moving to value-based reimbursement. However, like many transformations in healthcare, the shift away from fee-for-service has been a long journey. CMS and...Sponsored by MD Clarity
