Lessons learned from the transition from volume to value
To effectively transition to value, ACO must fully grasp the success factors that will determine future success under value-based payment, including success with downside risk. A research study examined key organizational, financial, market and other characteristics that support the decision to take on risk.
Hospitals and health systems remain optimistic, overall, about APMs
An August HFMA survey, sponsored by GHX, found that, overall, hospitals and health systems are optimistic about seeing improvements in coordination and collaboration with partners in risk-based payment models over the next five years. The findings suggest organizations are moving ahead unabated in their value-based payment strategies.
California v. Texas: What’s next?
HFMA's Chad Mulvany says we won’t know the outcome of the case until sometime in the first half of next year.
Home health provider looks to scale hospital-at-home model
HFMA's Chad Mulvany says this capability positions Dispatch Health as an ideal partner to Medicare Advantage plans or PCPs in risk-sharing models with MA plans, to reduce the total cost of care while maintaining high-quality outcomes.
Continued growth in employer-paid healthcare premiums may spur employers to find alternative solutions
HFMA's Chad Mulvany says large employers have signaled a possible end to their patience for traditional players to provide a traditional solution, and he reviews what solutions they could pursue instead.
Major insurers roll back no-cost sharing telehealth services
HFMA's Chad Mulvany says patients who received a surprise bill for a telehealth visit will likely blame the provider.
How to lay the foundations for success under CMS’s new MDC program
The CMS Medicare Direct Contracting (MDC) program offers hospitals and health systems a unique opportunity take the next step in value-based payment and population health management. Success requires the right targeted investments in expertise and infrastructure.
Rand releases updated study of hospital payment variation in commercial market
HFMA's Chad Mulvany says it’s imperative that everyone in the U.S. supports safety-net hospitals, or there will be an increase in the disparities in access to basic healthcare services between the haves and have-nots.
Increased ACA uncertainty at the U.S. Supreme Court upon death of RBG
HFMA's Chad Mulvany says given the Supreme Court’s historically narrow view on severability, many legal experts doubt the court, even with its new makeup, will overturn the entirety of the ACA.
CMMI announcement foreshadows more mandatory bundled payment models
HFMA's Chad Mulvany says based on recently announced changes to BPCI-A episodes, a mandatory model may be defined much broader than currently.