Executive Summary: CMMI Bundled Payment for Care Improvement Advanced Model – Request for Applications Released
This document provides a brief summary of the Center for Medicare and Medicaid Innovation's (CMMI's) request for applications for the Bundled Payment for Care Improvement Advanced payment model.
Advancing Contracting Strategy in a Complex Environment
Providers should approach their contracting portfolios with the intent to drive value creation across all payers and products. Likely challenges will be narrow networks and tiering and the transition from fee-for-service to value-based care.
The Changing Health Policy Debate and the Unyielding Imperative of Value-Based Care
Republican efforts to repeal and replace the Affordable Care Act have been temporarily put on hold while the party focuses on tax reform.
The Year Ahead: What 2017 ACA Changes Could Mean for 2018 and 2019
Healthcare providers can expect an impact in 2018 from changes made by the Trump administration in 2017 that could lead to a decline in the number of Americans with health insurance and an increase in health plans with fewer benefits.
The Fiscal Realities of a Single Payer Healthcare System
More Americans are in favor of a single-payer approach to health care, but the financial ramifications should be fully explored.
Targeted Care Integration Can Help Drive Success Under Risk Contracts
Providers can avoid many of the missed opportunities associated with risk contracts by carefully reviewing the targeted patient population, narrowing the number of performance metrics, and selecting the right clinicians to participate.
Sidebar: Top 10 Most Over-Documented HCCs
Documentation of chronic conditions is increasingly important as hospitals move toward value-based payment models.
Sidebar: Top 10 Most Under-Documented HCCs
Documentation of chronic conditions is increasingly important as hospitals move toward value-based payment models.
the role of HCCs in a value-based payment system
Documentation of chronic conditions is increasingly important as hospitals move toward value-based payment models.
Is Focus of Value Based Care Moving From Hospitals to Physicians
Recent changes to bundled payment models are the among the developments that suggest the Trump administration may be seeking to shift the focus of value-based care from hospitals to physicians.