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.
How a Hospital or Health System Can Assess the Risk of Moving to Value-Based Payment
To gain a clearer understanding of the financial impact of transitioning to a value-based model, healthcare executives can learn from the experiences of another health system that has undertaken a similar migration.
Specialty practices use predictive analytics to enhance value-based care
Specialty physician practices embarking on value-based care initiatives should start by expanding their ability to collect and synchronize data.
CMS Overhauls the Medicare Shared Savings Program
CMS’s Pathways to Success final rule is a challenging proposition for ACOs participating in the Medicare Shared Savings Program (MSSP).