ACO leaders support new bill designed to boost participation in value-based payment
Accountable care organizations stand to benefit from a new bill that would increase investment funding and make changes to federal ACO programs, several executives said.
By adopting 4 models for managing risk, healthcare organizations can secure the foundation for value-based payment success
By adopting four models for optimizing costs, care delivery, the continuum of care and contracts under risk-based payment, health systems can create an integrated framework for guiding their value-focused strategy and focusing their efforts in risk-based contracting.
Healthcare News of Note: Few consumers are using publicly posted negotiated prices to comparison shop for healthcare services
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Little use of price transparency information to comparison shop for healthcare services, the nursing shortage being felt throughout the U.S., and cash payers being charged more for the same services than patients with insurance.
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.
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.
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.
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.
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.
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.
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.