Contemplating the Potential Impact of the AHCA
Understanding legislation proposed to repeal and replace the Affordable Care Act (ACA) is important, given that a bill to repeal and replace the ACA seems inevitable.
Building a Value Model for Population Health Management
A data-driven “value model” can help healthcare organizations plan the scale and pace of investments into population health management in preparation for value-based contracting.
Alternative Payment Models: The Courage to Lead
Healthcare finance leaders are finding the courage to move forward with value-based payment despite the uncertainties of a new administration in Washington, D.C.
From “No Plan” to Multiple Plans, but No Consensus to Date
As the Republican-led Congress considers ways to fulfill campaign promises to repeal and replace the Affordable Care Act, they face practical challenges and a lack of consensus about how to proceed.
Primary Care Quality Incentive Program: Focus of Patient Satisfaction Questions
Bon Secours Virginia Medical Group’s primary care quality incentive program has eight measures that focus on patient satisfaction.
Value-Based Compensation for Primary Care: A Success Story
Bon Secours Virginia Medical Group developed a quality-based bonus program to prepare its primary care physicians for valued-based payment models.
Value-Based Care: Not Just for Primary Care Practices
Donna Levigne of Blue Cross and Blue Shield of Illinois explains why the health plan makes specialty care a priority in value-based care contracting.
Video: Tips for Direct-to-Employer Contracts from UNC Health
Understanding the time commitment and negotiation strategies around direct-to-employer contracts are key areas for payment and reimbursement leaders to consider.
Finding a Better Way to Handle Claim Attachments
Standardizing the electronic submission of claims attachments is a hot topic in the industry as stakeholders look for ways to reduce costs.
HFMA Final Rule Summary: Advancing Care Coordination Through Episodic Payment Models
This document consists of three separate summaries of CMS's final rule implementing three new Medicare Parts A and B episode payment models, a Cardiac Rehabilitation (CR) Incentive Payment Model and modifications to the existing Comprehensive Care for Joint (CJR) Replacement Model.