Lessons from a BCBS Plan’s Plunge into Value-Based Payment
Nov. 26—Commercial insurers—and Blue Cross Blue Shield plans, in particular—have been shy about moving into value-based payment (VBP). But one southwestern insurer’s experience may help change that.
Not Just Smarter Payment, Better Health Care
Jeb Dunkelberger describes how Highmark Health uses its experience as an integrated care delivery and finance system to advance strategies that improve the value of health care.
What Healthcare Policies Will the Election Produce?
Nov. 9—A divided Congress may be a recipe for overall gridlock, but some healthcare policy watchers see hope for action in certain areas.
Nov. 12-16: ‘Mandatory Models Are Going to See a Comeback,’ Azar Says
Nov. 8—As payers prepare to gather for value-based payment discussions in Washington, D.C., next week, the administration’s healthcare leader warned the sector to prepare for mandatory models.
Nov. 5-9: Azar to Discuss Primary Care Amid Expectations of New Models
Nov. 1—Primary care will draw the attention of the Trump administration next week, amid the expectation that upcoming payment models will focus on that segment.
Value-Focused Healthcare Strategy Must Be Multifaceted
Moving to a value-based payment model involves change and requires a strategy focused on both managing costs and enabling growth of the enterprise.
Medicare Shared Savings Program “Pathways to Success” Proposed Rule
This document summarizes the Medicare Shared Savings Program - Pathways to Success proposed rule, published in the August 17, 2018, Federal Register.
hfm Magazine: October 2018
The October 2018 edition of hfm explores people and culture in healthcare finance, focusing on performance improvement, academic-community relationships, and care delivery.
Lessons Learned from New York State’s Transition to Value
New York is a leader among U.S. states in promoting the healthcare industry’s transition to value-based payment, and healthcare providers nationwide can benefit from understanding the details of the state’s approach.
7 Considerations in the Financial Modeling of Value-Based Payment Arrangements
In preparing for the impact of changing to value-based payment, hospitals must be able to predict the gain or loss from related incentives, penalties, volume changes, and other factors. Seven considerations provide a guide to successfully managing the shift.