What’s the blueprint for taking on risk?
Providers and health plans need to collaborate — both in the planning and execution of risk-based contracts — in order to make them work.
Providers press CMS for details amid lingering uncertainty about new primary care models
The possibility of conflicts between Medicare payment models joined the customary concern about benchmarking details in provider feedback on coming primary care models, an administration official said.
CMS identifies keys to success in bundled payment as BPCI-A deadline looms
Ahead of next week’s deadline for providers to join the largest voluntary bundled payment program, the agency in charge of the program identified lessons learned from successful participants.
Analysis: Price check in the EHR
Humana may be a more desirable partner for physicians interested in risk arrangements if its collaboration with Epic reduces potentially preventable ED and inpatient utilization due to increased medication adherence.
6 revenue cycle objectives for the transition to value-based payment models
To maximize revenue, medical practices are focusing on value — delivering high-quality care while managing total costs — and managing risks associated with two-sided payment models.
Earning a 4-start patient-experience rating takes dedication
Main article: Why optimizing the patient experience should be on every C-suite leader’s radar Under Maryland’s hospital rate-setting system, 1% of hospital payment from all payers is based on an organization’s performance on the HCAHPS inpatient survey. “It can be millions of dollars for organizations that can be lost or gained,” says Lisa Allen, PhD,…
How physician-finance partnerships pave the way to higher-value care
Physician leaders and finance leaders can use their respective strengths to complement each other and help each other thrive in a value-based environment.
Analysis: 4 significant findings from the recent AMGA Physician Risk Survey
HFMA’s Chad Mulvany discusses four findings from the latest AMGA Physician Risk Survey about the transition to alternative payment models and risk.
You should talk: Opportunities for patient financial conversations
Kristen Mazurek of Geisinger Health talks about the challenge of conversations with inpatients for whom care is not routine. Also, the latest healthcare finance news and key performance indicators for value-based payment.
Assembling the essentials for successful population health management
A high-performing clinical network, and a focus on patients presenting high or emerging risk are two key elements that health systems must have in place to be able to succeed with population health management.