7 Considerations in the Financial Modeling of Value-Based Payment Arrangements
In preparing for the impact of changing to value-based payment, hospitals must be able to predict the gain or loss from related incentives, penalties, volume changes, and other factors. Seven considerations provide a guide to successfully managing the shift.
Getting Proactive About Bundles
Building on lessons learned from early bundle experiences, a midwestern health system is proactively designing its own bundles as it works with insurers and the state to craft bundles that better represent clinical and operational realities.
A Blueprint for Building a ‘Risk Ready’ Healthcare Organization
The cornerstone capabilities healthcare providers require for success under risk contracts are contract modeling and negotiation, care management and coordination, analytics and technology, and relationships and alignment.
Preparing for BPCI-A: Avoiding the Common Mistakes Providers Make when Implementing New Payment Models
The primary goal for healthcare providers participating in Bundled Payments for Care Improvement Advanced (BPCI-A) should be to master the competencies associated with becoming a high-value provider.
Beyond the Rhetoric: Implications and Unintended Consequences of Tax Reform and Medicare Policy
Tax reform and changes in federal healthcare policy could have the unintended effect of exacerbating the challenges U.S. hospital face in contending with uncompensated care.
At the Tipping Point for Assuming More Risk
An in-depth look at how organizations can build capabilities to implement effective value-based payment contracts and care delivery models.
Site-Neutral Payment Reduction Leads Hospital OPPS Concerns
Sept. 25—Among reactions to a range of thorny policy proposals, hospital advocates are urging Medicare to withdraw a $760 million payment cut for outpatient services.
Reducing Cancer Costs: Lessons from Leading Oncology Practices
Sita Kapoor highlights seven lessons learned from early participants in the CMS Oncology Care Model about reducing cancer care costs.
Value-Based Payment for Physicians Stays Flat: Survey
Sept. 21—The share of physician compensation tied to value-based payment metrics has remained stuck below 15 percent, according to a recent national physician survey.
Where Providers Are Finding Value-Based Profit
Healthcare provider organizations that are seeking ways to successfully accomplish the shift from fee-for-service to value-based payment can gain insight from the experiences of provider organizations that are industry leaders in this transition.