Advancing Contracting Strategy in a Complex Environment
Providers should approach their contracting portfolios with the intent to drive value creation across all payers and products. Likely challenges will be narrow networks and tiering and the transition from fee-for-service to value-based care.
Medicare ACOs Increase by 18 Percent in 2018
Jan. 16—Medicare increased its number of accountable care organizations (ACOs) by 18 percent in 2018, even as a participation cliff looms for many.
Why Hospitals Support Kentucky’s Medicaid Waiver
Jan. 15—Kentucky’s recently approved Medicaid waiver has drawn criticism for implementing “work requirements,” but hospitals say the details make it more palatable.
HHS Nominee Would Support Mandatory Models
Jan. 11—Mandatory Medicare payment pilots could return under the leadership of the nominee to direct the U.S. Department of Health and Human Services, he said this week.
Advisers See Good and Bad in New Voluntary Bundle
Jan. 10—Hospital participation in a new voluntary bundled payment program is expected to exceed that of any previous models, but the new program may not be right for every organization.
Medicaid Expansion Lessened Hospital Closures: Study
Jan. 9—The expansion of Medicaid eligibility under the Affordable Care Act (ACA) helped prevent some hospital closures in those states, according to new research.
Video: Participating in Bundled Payment Initiatives
Tamira Harris, PhD, MBA, MSN, business adviser for Change Healthcare, takes a look at how healthcare entities can get started with bundled payment initiatives, including care design and delivery.
When Push Becomes Pull: The Next Phase of the Transition to Value
The healthcare industry’s transition to value-based payment will likely continue, driven by physician interest in advanced alternative payment models.
High Discount Health Plans: Right for the Consumer, but What About PFS?
Organizations writing off more and more patient debt may want to explore new avenues for collaboration.
Proposed MA Change Positive for Plans: Analysts
Jan. 3—Proposed policy changes that were recently released for Medicare Advantage (MA) plans—coupled with expected rate increases—should boost those insurers, industry analysts say.