Value Based Payment

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.

Bonnie B. Blanchfield, CPA, ScD November 25, 2020

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.

Eric C. Reese, PhD November 24, 2020

Providers urge Congress to act quickly on COVID-19 assistance, value-based payment

Hospitals and other providers are urging the lame-duck Congress to provide more COVID-19 provider relief and to tweak rules for physicians in value-based payment models.

Rich Daly November 22, 2020

Healthcare revenue cycle leaders, it’s your move

Healthcare providers can benefit from using a chess-inspired strategy to rebuild the revenue cycle after COID-19, as they continue to prepare or value-based care.

Lucy Zielinski November 18, 2020

Could value-based payment be used to shore up the Medicare trust fund?

September estimates that the Medicare hospital trust fund will be insolvent by 2024 could mean value-based payment will play a role in buttressing the fund.

Rich Daly November 17, 2020

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.

Chad Mulvany, FHFMA November 10, 2020

Physicians score well in Quality Payment Program but receive little for it

HFMA's Chad Mulvany says the Merit-based Incentive Payment System (MIPS) program needs to be simplified to allow all providers to participate without it being overly burdensome.

Chad Mulvany, FHFMA November 5, 2020

6 common ground healthcare issues that may help in overcoming discord

In the nation's current political climate and the prevailing partisan divide, healthcare is home to six issues where there is political common ground that could lead to bipartisan solutions.

Ken Perez October 29, 2020

Ripple effects of the pandemic on the move toward value

In this HFMA executive roundtable, seven executives for health systems and health plans share how the pandemic has impacted their organization’s move toward value — and what it will take to foster transparency and trust under these models.

HFMA October 27, 2020

Why effective maternity care requires an innovative, value-based strategy

An episode-of-care approach may be the best way to address cost variation in maternal care and promote partnerships across the healthcare continuum.

Tessa Kerby, MBA, MPHE October 22, 2020
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