Medicare Chief Targets Upside-Only ACOs
May 7—Medicare accountable care organizations that don’t accept downside risk are not producing results, says Seema Verma, administrator of the Centers for Medicare & Medicaid Services.
Ensuring a High-Performing Referral Network
To be able to ensure patients receive high-quality care under value-base payment arrangements, primary care physicians require well-developed specialty networks for patient referrals.
Closing the Gaps in Value-Based Care
Jeffrey Springer describes five steps in the evolution of value-based care.
Value-Based Payment and Cost of Care
HFMA President and CEO Joseph J. Fifer, FHFMA, CPA, offers perspectives on new research showing that value-based payment has yet to reduce the total cost of care.
Where Health Plan-Provider Value-Based Partnerships Trip Up
May 1—An inability to successfully integrate clinical and claims data is among the key challenges in creating and sustaining health plan-provider value-based partnerships, said an executive involved in one such effort.
Choosing the Right Path Forward for Value-Based Care
Thomas Schenk, MD, of BlueCross BlueShield of Western New York describes the health plan’s approach to supporting primary care physicians with a capitated payment system that accounts for local-market characteristics.
The Study of Factors Influencing the Total Cost of Health Care
A study conducted by HFMA, Leavitt Partners, and McManis Consulting investigated factors driving the total cost of health care in the United States.
What Is Driving Total Cost of Care?
A recent study identifies key factors that may be influencing total cost of care in the United States and provides recommendations for addressing those factors.
Value: The Way Forward
Value-based payment won’t bend the cost curve unless healthcare organizations commit to fundamental change. Not everyone will come out whole.
Latest ACO Trends Identified
April 20—Although private accountable care organizations (ACOs) appear to be gaining ground, the Medicare versions are still leading—amid challenges.