Value Based Payment

3 components of shared risk executives need to know

Jennifer Carney, vice president, finance and analytics, for Beth Israel Lahey Health Performance Network (BILHPN), describes three basic components of shared-risk contracts.

HFMA October 31, 2019

Amid lagging hospital risk taking, value-based payment advocates try to woo CFOs

Hospital CFOs are seen by others in healthcare as the key to spurring organizations and the industry at large to move from fee for service to risk-based payment models.

Rich Daly October 30, 2019

How a ‘mini-Optum’ saved $85 million in three years by emphasizing primary care

A Texas clinically integrated network has used a primary care physician-focused approach to lower healthcare spending by $85 million over three years.

Rich Daly October 23, 2019

More Medicaid programs increase hospital payment rates

More states have moved to increase hospitals’ Medicaid rates than to cut them — reversing a pattern from the last fiscal year.

Rich Daly October 22, 2019

Oct. 19-25: CMMI leader to address value-based care executives

Healthcare finance policy events for the week of Oct. 21 include an address from a CMMI executive, HFMA webinars and a deadline for comments on advance beneficiary notices.

Rich Daly October 18, 2019

Allocating capital to medical technology in the age of value-based payment

As value-based payment and risk-bearing contracts become more prevalent, hospital leaders will be incentivized to incorporate methods that provide increased transparency and evidence into whether a technology improves patient outcomes at the lowest possible cost of care.

Terrance D. Hayslett October 17, 2019

Provider alignment to get a boost under anti-kickback, Stark proposals: attorney

Provider initiatives to better align under value-based payment models would get a boost from proposed Stark and anti-kickback law enforcement changes.

Rich Daly October 15, 2019

Oct. 13-18: Multiple national gatherings among key upcoming healthcare events

Key events include an HFMA webinar, national healthcare provider meetings and a House hearing on healthcare affordability.

Rich Daly October 14, 2019

Don’t let infections hurt your bottom line

Finance leaders can ensure their organizations have the appropriate resources to combat healthcare-associated infections, said Susan Bleasdale, MD, of UI Health.

Laura Ramos Hegwer October 13, 2019

HHS proposes 16 Stark, anti-kickback changes

HHS has proposed a range of rule changes to anti-fraud laws that providers say have blocked value-based payment arrangements.

Rich Daly October 11, 2019
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