More physicians shift from MIPS to APMs in Medicare
Increasing numbers of physicians paid by Medicare are shifting from the default quality-reporting-based payment option to earning bonus payments by participating in other payment models.
Limits on savings from bundled payments identified in new research
Bundled payment program savings appear limited to lower joint replacement, and changes may be needed to improve the programs, according to new research.
CMS extends comment period for health plan price transparency rule
CMS will accept feedback for an additional two weeks on a proposed rule requiring health plan price transparency.
Auth-DP software helps streamline prior authorizations to reduce denials
A leading revenue cycle technology company talks about how its innovative prior authorization software streamlines the process of checking for, obtaining and following up on prior authorizations, saving organizations millions in avoided denials.
Payer-provider partnership success stories
Partnering with a health plan has been shown to be an effective strategy for health systems undertaking a value-based payment strategy.
A tailored approach to value-based care product development
To be successful, a value-based-payment initiative must be tailored to the provider organization's market and capabilities.
A closer look at healthcare payment methods
A short description of payment methodologies offers context on the argument about whether fixed fees are preferable to percent-of-charge provisions.
Why removing percent-of-charge provisions in managed care contracts won’t address concerns about high hospital charges
Removing percent-of-charge provisions in favor of fixed fees would not remove the factors that drive price increases, nor would it reduce administrative hassles or decrease risk.
Maryland TCOC: A grand demonstration continues
As Maryland's Medicare Total Cost of Care priogram enters its second year, it It is a goodtime to revisit the program to understand its essential elements and implications for the nation's healthcare system.
Analysis: FY20 appropriations bills passed – lessons for potential future healthcare legislation
A review of the FY20 appropriations package to fund the federal government and a couple of ideas on lessons that might be applied to future efforts to expand coverage.