Calling Into Question the Nation’s Commitment to Value-Based Health Care
There is widespread agreement that the goal of transitioning the nation’s healthcare system to value-based payment is important, but there remain many impediments to accomplishing such a transition.
Ask the Experts: Payer Preference for Imaging Centers
Our hospital is beginning to feel the sting of payers steering their members from scheduled high-end imaging procedures at our facility to free-standing imaging centers. How are other hospitals and health systems responding to or reacting to this practice?
Understanding the Problem of Claim Processing Waste
Even small improvements in connectivity and transparency could save a few dollars per healthcare claim, which adds up very quickly.
United HealthCare ACO Contract Emphasizes Quality
The NexusACO health plan incentivizes patients to use top-performing physicians.
Cost: The Biggest Barrier to Precision Medicine
Joel Diamond explores the cost barriers of genetic testing to precision medicine.
Rethinking Health Care’s Triple Aim
Achieving health care’s Triple Aim has proved elusive, but it may be yet be achievable through a process of engaging rising-risk patients in their own care through daily self-reporting.
Creating Value in the Medicaid Expansion: A Strategic Framework for AMCs
Academic medical centers that work with states to find mutually beneficial Medicaid strategies may find themselves well positioned in an era of value.
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.
HFMA Trendsetter: Tackling Bundled Payments
This article shares how Premier Inc. helped Adventist Health System successfully navigate bundled payment initiatives by offering a dynamic collaborative led by seasoned experts and user-friendly analytics that enable evidence-based decisions.
Sidebar: Top 10 Most Over-Documented HCCs
Documentation of chronic conditions is increasingly important as hospitals move toward value-based payment models.