CMS finalizes requirement for hospitals to report MA plan rates
Pandemic increases pressures for rural hospitals struggling pre-COVID-19
HFMA's Chad Mulvany says weakened rural providers will likely seek to align more closely or be acquired by a larger healthcare system or merge with one another to gain economies of scale.
Commercial health plans’ value-pay response to pandemic mixed, say providers
Commercial health plans have offered providers in value-based payments some pandemic-related flexibilities but rejected some changes.
Cleveland Clinic strikes deal to provide virtual second opinions to Aetna members
HFMA's Chad Mulvany says center of excellence models, similar to those the Cleveland Clinic partners with, select employers that have proven ability to reduce the total cost of care and improve outcomes.
Looking beyond CMS: How to accelerate the transition to value in healthcare
HFMA's Chad Mulvany summarizes a blog on actions CMS and Congress can take to transition providers to capitated and other risk-bearing payment models.
Employers pivot from value-based payment to virtual care amid the pandemic
Employer-sponsored health plans are pausing value-pay expansions in favor of adding virtual care options in response to the COVID-19 pandemic, according to a business group survey..
Rural payment pilots could pave the way to revamped hospital business models
A new rural payment model will test capitated and ACO payments and could encourage major changes in hospital business models.
How to manage risk-based payment in the era of the global pandemic
To succeed with risk-based contracts through the COVID-19 pandemic and beyond, healthcare organizations require analytic capabilities for modeling the revenue impact of the crisis through all its phases.
7 steps toward compensating primary care physicians for their true value
A value-based payment model for primary care physicians would be consistent with the goal of population health, which is to achieve better health outcomes for a population of patients at the lowest possible costs.
Primary care providers are partnering with employers to form an optimal primary care delivery system
HFMA's Katie Gilfillan says the time may be right for a re-orientation of the healthcare system, where hospitals, physician groups and purchasers of care along with payment models are aligned to support a more patient-centric system.