Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid

Value-Based Care News

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 Center Partners of Southern California...

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 care. In a speech to the American...

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 experts from the USC-Brookings...

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 the Quality Payment Program, the...

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 physician-led practices have turned the tide...

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 landscape through the formation of a...

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) report found. But only four...

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, and several other of healthcare’s...

Provider Orgs Push for 90-Day MIPS Reporting Period in 2018

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Almost 50 provider groups are calling on CMS to reduce the Merit-Based Incentive Payment System (MIPS) reporting period from a full calendar to a minimum of 90 days during the 2018 performance year. Among the groups advocating for...

Emory Healthcare, Walmart Team Up for an ACO, Bundled Payments

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Atlanta-based Emory Healthcare recently announced the creation of an accountable care organization (ACO) with retail giant Walmart, known as the Accountable Care Plan. Walmart employees at 55 Walmart, Sam’s Club, and Walmart...

Only 37% of MIPS Quality Measures Deemed Valid by ACP

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The American College of Physicians (ACP) is calling for a “time-out” to assess and improve Merit-Based Incentive Payment System (MIPS) quality measures after finding few of the measures used to determine clinician performance...

Practices Push for Quicker Value-Based Purchasing Transition

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The Council of Accountable Physician Practices (CAPP) recently urged policymakers to prioritize the value-based purchasing transition by accelerating the shift away from fee-for-service. “We recognize that much of...

MSSP ACOs Fell $2B Short of CBO’s Medicare Spending Estimate

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A new analysis from Avalere showed that Medicare Shared Savings Program (MSSP) accountable care organizations (ACOs) failed to reduce Medicare spending as the Congressional Budget Office (CBO) projected in 2010. The CBO estimated...

Uniform Operational System Key to Value-Based Payments, CAQH Says

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The healthcare industry needs an “efficient, uniform operational system” to sustain value-based payment success, the Council for Affordable Quality Healthcare’s (CAQH) Committee on Operating Rules for Information Exchange...

MD All-Payer Alternative Payment Model Met Medicare Spending Goal

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The Maryland All-Payer alternative payment model has already met and exceeded its five-year goal of reducing Medicare spending on hospitals by $330 million and the state is on its way to achieving care quality improvement goals, the...

MIPS Will Impede Value-Based Purchasing Transition, MedPAC Argues

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The Medicare Payment Advisory Commission (MedPAC) recently suggested that Congress repeal the Merit-Based Incentive Payment System (MIPS), arguing the new value-based purchasing program “impedes the movement toward high-value...

Should Congress Repeal the Merit-Based Incentive Payment System?

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As over 400,000 eligible clinicians prepare to submit data to the Merit-Based Incentive Payment System (MIPS) by the end of March, industry experts are urging policymakers and HHS officials to reconsider and even repeal MACRA’s most...

Accelerating the Value-Based Payment Transition Top HHS Priority

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Quickening the pace of the value-based payment transition is a major focus for HHS, the department’s new Secretary Alex Azar recently told attendees of the Federation of American Hospitals’ annual Public Policy Conference in...

72% of Medical Groups Oppose Mandatory Alternative Payment Models

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The mandatory versus voluntary alternative payment model debate continues. This time medical group practices are voicing their opinions in a new MGMA Stat poll that found 72 percent of group leaders oppose required participation in...

Value-Based Purchasing Top Health Reform Priority for Governors

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In a recent healthcare reform proposal, a bipartisan group of governors emphasized that value-based purchasing implementation will be the key to reducing healthcare costs while improving outcomes. “Coverage is important, and...

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