Bundled Payments for Care Improvement Advanced: 5 Critical Issues
When considering whether to participate in the Bundled Payments for Care Improvement Advanced program, hospitals and health systems should examine five key areas that could affect their performance under the program.
How Medicare ACOs May Respond to Spiking Risk
May 29—Accountable care organization (ACO) leaders are girding for changes to the Medicare ACO program that may require the vast majority in upside-only models to take on downside risk.
Areas of Healthcare Policy Agreement Would Target Hospitals
May 25—Emerging areas of bipartisan health policy agreement include hospital-targeted policies, according to policy experts.
Navigating Value-Based Reimbursement
A roundtable discussion about value-based reimbursement challenges, opportunities, and strategies for success.
Value-Based Care Is a Better Investment for Everyone
Griffin Myers explains the value of value-based care.
Hospitals Worry Rule Could Lead to Medicaid Rate Cuts
May 23—Proposed changes to federal Medicaid rules could hit hospitals’ bottom lines, advocates warned.
CMMI’s “New Direction” Comments Indicate Enthusiasm of Healthcare Stakeholders
Dave Terry describes how feedback to a CMS announcement last fall has spurred another request.
How MA Plans Are Changing VBID Approaches
May 18—Medicare Advantage (MA) plans are evolving their approaches in the expanding Medicare pilot for value-based insurance design (VBID).
Methodology Used to Identify Top Procedures Performed at Hospitals and Free-Standing Clinics
Recent research on hospital versus free-standing facility pricing used 2016 Medicare hospital OPPS data as its basis.
A Look at Two Blues’ Distinct Approaches to Changing the Healthcare Model
May 16—Two dominant not-for-profit health plans—both Blue Cross insurers—are moving aggressively in very different directions.