Value Based Payment

MedPAC backs Medicare changes to increase hospital pay in 2021 by up to 3.3%

For 2021, MedPAC has recommended that hospitals’ Medicare rates increase 2%, plus a potential 0.8% quality bonus and elimination of a 0.5% quality cut.

Rich Daly January 21, 2020

Jan. 20-24: MACPAC policy meeting among upcoming healthcare finance events

A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of Jan. 20.

HFMA January 17, 2020

BPCI Advanced participation jumps by 57% in its third year

Provider participation in the largest Medicare voluntary bundled payment program surged in its third year.

Rich Daly January 15, 2020

Analysis: Aspire Health Founder Brad Smith chosen as new CMMI director

The change in CMMI leadership could mean long-anticipated models are released, and may signal more emphasis on palliative care in future models based on Brad Smith’s background.

Chad Mulvany, FHFMA January 14, 2020

Atrius Health: Experience with global-risk contracts paves way to success in new arrangement

Previous success in risk-based contracts will allow Atrius Health to thrive in its new global-risk arrangement with Blue Cross Blue Shield of Massachusetts, two of the provider’s leaders write.

Patrick Holland January 13, 2020

Number of Medicare ACOs stays flat, but risk-taking increases

The number of Medicare ACOs has stagnated, but many more are taking on financial risk.

Rich Daly January 13, 2020

Cautionary tales: Why some payer-provider initiatives have stumbled

Health system leaders that are considering launching a provider-sponsored health plan can take a lesson from the experiences of organizations that faced challenges in pursuing such a strategy.

Richard Weil, PhD January 10, 2020

Payer-provider partnership success stories

Partnering with a health plan has been shown to be an effective strategy for health systems undertaking a value-based payment strategy.

Richard Weil, PhD January 2, 2020

A tailored approach to value-based care product development

To be successful, a value-based-payment initiative must be tailored to the provider organization's market and capabilities.

Richard Weil, PhD January 2, 2020

‘We were completely wrong’: How Henry Ford Health System won a major direct contract

How one health system won a large direct contract as such arrangements become more widespread.

Rich Daly December 16, 2019
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