The Study of Factors Influencing the Total Cost of Health Care
A study conducted by HFMA, Leavitt Partners, and McManis Consulting investigated factors driving the total cost of health care in the United States.
What Is Driving Total Cost of Care?
A recent study identifies key factors that may be influencing total cost of care in the United States and provides recommendations for addressing those factors.
How Provider-Led ACOs Can Generate Long-Term Savings
Providers with concerns about the elusive success of ACOs should adopt some key strategies for implementation.
Creating APMs for Specialty Care: A Provider-Led Initiative for Delivering Value
The experiences of a large urology group practice can provide finance leaders with insight into key considerations involved with developing an advanced alternative payment model (APM) for a healthcare specialty area.
MA Ruling May Signal Industry Readiness to Integrate SDH into Traditional Medical Care
In addressing social determinants of health and social services, a recent Medicare Advantage ruling by CMS may have taken the first steps toward providing more integrated and comprehensive care to the nation’s aging population.
Value: The Way Forward
Value-based payment won’t bend the cost curve unless healthcare organizations commit to fundamental change. Not everyone will come out whole.
The Current Outlook for Value-Based Care Under the Trump Administration
Value initiatives introduced by the Affordable Care Act have met with varied success. Under the Trump administration, the future of these initiatives is uncertain.
Latest ACO Trends Identified
April 20—Although private accountable care organizations (ACOs) appear to be gaining ground, the Medicare versions are still leading—amid challenges.
New MA Rules Benefit Provider-Sponsored Plans
April 18—Recently announced Medicare Advantage (MA) rates and rule changes could help sometimes-struggling provider-sponsored plans improve their performance.
Ask the Experts: Cost Sharing Programs
I am looking for more information about how to manage patients covered by cost sharing programs.