Value-Based Care News

ACOs Relax Post-Acute Care Rules to Improve Care, Reduce Costs

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Ensuring patients receive the right post-acute care at the right time is key to controlling costs in accountable care organizations (ACOs) and other population-based alternative payment models. With...

Value-Based Experience, Robust EHR Use Key Factors to ACO Success

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A collaborative culture, prior value-based reimbursement experience, and robust EHR use are among the top factors contributing to accountable care organization (ACO) success, according to a new report...

Do Proposed Quality Payment Program Changes Support Specialists?

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The American Society of Clinical Oncology (ASCO) recently expressed their concerns with proposed Quality Payment Program changes, arguing the potential implementation policies for the third year of the...

After a Slow 2017, ACOs Grow and Expand Their Contracts in 2018

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The number of accountable care organizations (ACOs) continued to grow in 2018, as did the number of contracts the organizations entered, a new report from Leavitt Partners and the Accountable Care...

Academic Medical Centers Receive More Value-Based Penalties

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Academic medical centers (AMCs) are key members of the healthcare industry, engaging in medical research, uncovering clinical breakthroughs, and training future providers. However, a new analysis by...

Employers Play Bigger Role in Value-Based Reimbursement Transition

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Providers wanting to expand their value-based reimbursement contracts may want to look to the employer-sponsored health plan market, according to a new report from the Duke-Margolis Center for Health...

Docs, Payer Execs Agree Providers Lack Tools for Value-Based Care

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A lack of technology and patient data may be stalling or even reversing the value-based care transition, a new survey of primary care physicians and health plan executives revealed. “Stalled...

EHR Costs, Staffing Still Trouble Small, Rural Practices in MIPS

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Financial challenges plaguing small and rural practices under legacy Medicare value-based purchasing programs are likely to persistent under the Merit-Based Incentive Payment System (MIPS), the...

More Execs Expect Value-Based Reimbursement to Up Profitability

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Approximately 46 percent of healthcare executives and managers expect value-based reimbursement contracts to improve their organization’s profitability, according to a recent KPMG...

ACOs and Other Value-Based Purchasing Models Have Yet to Cut Costs

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Accountable care organizations (ACOs) and other population-based value-based purchasing models have not decreased total cost of care or generated quality improvements at the market level, a new study...

How Addressing Social Determinants of Health Cuts Healthcare Costs

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Population health management and value-based reimbursement success hinge on reducing healthcare costs not only when a patient is in the exam room, but also when they are beyond the walls of the...

Value-Based Care Reduces Costs by 5.6%, Improves Care Quality

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Value-based care strategies are starting to achieve the goals of the Triple Aim, payers reported in a new ORC International study commissioned by Change Healthcare. The analysis of 120 payers across a...

How Small Health Centers Can Succeed With Value-Based Payments

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Small community health centers should shift to a population-based mindset and deliver care management and coordination to succeed under value-based payment models, uncovered a new analysis from Health...

HHS Bringing Value-Based Purchasing to SNFs, Post-Acute Care

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HHS Secretary Alex Azar identified value-based purchasing as the key to reducing hospital readmissions and moving skilled nursing facilities and other post-acute care providers to coordinated community...

Hospitalization-Based Bundled Payment Models Key to Lowering Costs

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Bundled payment models should center on acute hospitalizations, rather than outpatient care, because hospitalization-based bundles can more effectively impact post-acute care (PAC) spending, industry...

91% of Eligible Clinicians Participated in 2017 MIPS Reporting

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Approximately 91 percent of all eligible clinicians participated in 2017 Merit-Based Incentive Payment System (MIPS) reporting, exceeding the CMS goal of 90 percent participation in the first year of...

Value-Based Care Driving Independent Practices to Consultants

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Independent physicians and practices are turning to consultants to make the transition to value-based care and stay competitive in a shifting market. The latest research from Black Book shows...

New Org Aims to Help Independent Practices with Value-Based Care

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The value-based care transition has been a thorn in the side of independent practices, but a group of leading provider organizations is aiming to better support solo practices in the current healthcare...

Only 4 CMMI Alternative Payment Models Met Spending, Quality Goals

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The CMS Innovation Center is on the path to reducing healthcare costs while improving care quality through alternative payment and care delivery models, a recent Government Accountability Office (GAO)...

AMA Invests $27.2M in Health IT Co to Advance Value-Based Care

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The American Medical Association (AMA) recently invested another $27.2 million in Health2047 Inc., a health IT start-up in Silicon Valley that aims to tackle value-based care, physician productivity,...