Value Based Payment

Newer payment models should be part of holistic transformation efforts, CMS deputy administrator says

Healthcare industry stakeholders can expect a new approach to how federal payment models are formulated, as a newly released rule for Medicare coverage of kidney care illustrates.

Nick Hut July 9, 2021

Transitioning health systems to accepting more risk: Key steps to ensuring financial sustainability

The COVID-19 pandemic has renewed many health systems’ interest in pursuing population health initiatives. Yet success with such initiatives will remain elusive if they do not address two common barriers to success: lack of aligned incentives and insufficient infrastructure.

Orry Jacobs, MBA June 24, 2021

Why fee-for-service can have a place in a reimagined healthcare system, but not as the primary mode of payment

Fee-for-service came under fire during a workshop in which prominent healthcare industry experts spoke of ways to achieve better integration of financing and care delivery.

Nick Hut June 9, 2021

Study quantifies the cost to physician practices of participating in the Merit-based Incentive Payment System

MIPS participation led to high administrative costs and a significant time drain, according to new research.

Nick Hut June 8, 2021

Why closer collaboration between healthcare providers and health plans is crucial, and where it could pay off the most

New types of provider-payer associations place an emphasis on increasing the value of healthcare rather than merely offering cost savings.

Nick Hut June 4, 2021

New research suggests there’s no need to worry that patient experience surveys lead to low-value healthcare

Findings from a new study may assuage concerns that low-value care is encouraged through the use of patient experience ratings in payment formulas.

Nick Hut June 1, 2021

Looming changes to quality reporting in the Medicare Shared Savings Program draw strong pushback from healthcare providers

Healthcare provider organizations are petitioning the Biden administration to slow recently finalized quality-related changes to the Medicare Shared Savings Program.

Nick Hut May 18, 2021

6 takeaways from HFMA’s Cost Effectiveness of Health Summit: Why health spending must become more cost-effective

HFMA’s first Cost Effectiveness of Health Summit drove home the urgency of improving how healthcare dollars are spent.

Nick Hut May 13, 2021

Healthcare News of Note: Hospital employment continues to decline despite an increase in jobs for the healthcare sector

A continuing drop in hospital job numbers, President Biden’s plans for the ACA and how COVID-19 affected stroke care during the pandemic are all topics covered in this week’s Healthcare News of Note.

Deborah Filipek May 7, 2021

CMS is curtailing voluntary participation in the Comprehensive Care for Joint Replacement bundled payment model

Hospitals that participated in the Comprehensive Care for Joint Replacement model on a voluntary basis over the last three years will be excluded after Sept. 30.

Nick Hut May 3, 2021
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