Health Systems Brace for MACRA
Hospitals and health systems are working to help their physicians succeed under MACRA, which means moving quickly to advanced APMs.
What’s in Your Pricing Policy?
A recent survey reports that the majority of hospitals have formal or consistent methods for setting prices, but transparency is often missing.
Improving Healthcare Quality: Four Proven Health Plan Strategies That Providers Should Adopt
Emad Rizk outlines lessons healthcare providers can learn from health plans’ approach to value.
CMS’s 2018 IPPS Proposed Rule and RFI: Signaling the Trump Administration’s Deregulation Agenda
Ken Perez describes the connection between the effort to repeal and replace the Affordable Care Act and a new proposed rule and request for information by CMS.
Overview of the American Health Care Act
This slide deck summarizes the American Health Care Act as passed on May 4, 2017.
Charging Appropriately for Emergency Department Visits
To determine a fair charge for an emergency department visit, a hospital or health system must separate its costs into three categories.
Alternative Payment Models at the State Level
In an effort to address rising healthcare costs, many states have implemented alternative payment models.
Case Example: A Large Medical Group Transitions to Value
The transition to value makes it necessary for healthcare organizations to find new ways to adapt to change.
Where’s the Risk
The secret to success under value based payments is an organization’s ability to identify and stratify risk. Risk falls into four basic categories Financial risk—managing with less revenue than in the pastQuality related risk—meeting requirements for qualityClinical risk—achieving agreed upon
How the AHCA’s Failure Could Rekindle the Lost Art of Compromise in Washington
With stalled efforts on both sides of the aisle, it may be time for Democrat and Republican leaders to come together on healthcare legislation.