Limited BPCI savings seen with joint replacement bundles
CMS’s new BPCI-A model incorporates patient complexity into the risk-adjustment mechanism, but it remains to be seen if it will solve all issues with the previous model.
BPCI Advanced participation jumps by 57% in its third year
Provider participation in the largest Medicare voluntary bundled payment program surged in its third year.
Analysis: Aspire Health Founder Brad Smith chosen as new CMMI director
The change in CMMI leadership could mean long-anticipated models are released, and may signal more emphasis on palliative care in future models based on Brad Smith’s background.
Addressing the social determinants of health
Nancy Johnson, CEO of El Rio Community Health Center in Tucson, talks about her organization’s processes for addressing the social determinants of health among its patient population. The interview is a follow-up to a panel discussion at HFMA's 2019 Thought Leadership Retreat. Also in this episode: insights on effective leadership of teams and pricing strategy objectives.
Atrius Health: Experience with global-risk contracts paves way to success in new arrangement
Previous success in risk-based contracts will allow Atrius Health to thrive in its new global-risk arrangement with Blue Cross Blue Shield of Massachusetts, two of the provider’s leaders write.
Number of Medicare ACOs stays flat, but risk-taking increases
The number of Medicare ACOs has stagnated, but many more are taking on financial risk.
Cautionary tales: Why some payer-provider initiatives have stumbled
Health system leaders that are considering launching a provider-sponsored health plan can take a lesson from the experiences of organizations that faced challenges in pursuing such a strategy.
Many voters oppose giving government authority to set all healthcare prices
More voters oppose broad government rate-setting than support such an approach to addressing healthcare cost increases, according to a poll.
More physicians shift from MIPS to APMs in Medicare
Increasing numbers of physicians paid by Medicare are shifting from the default quality-reporting-based payment option to earning bonus payments by participating in other payment models.
Limits on savings from bundled payments identified in new research
Bundled payment program savings appear limited to lower joint replacement, and changes may be needed to improve the programs, according to new research.