Value-Based Contracting Not Taking Off: Health Plan Survey
Health plans see a shift to value-based payment on the horizon, according to a new industry survey. It’s a familiar finding.
Hospitals See Improvement in Value Contracting with Commercial Plans
Hospitals continue to have more difficulty establishing value-based contracts with commercial health plans than with government payers, but that may be changing.
Provider Nimbleness Required for Diverse Value-Based Healthcare Models
Providers must be nimble to adapt to new value-based healthcare strategies.
Model Targets Hundreds of Millions in Medicare ED Spending
Feb. 18—Heralded as part of a shift in care to lower-cost locations, a new Medicare model coming early next year will incentivize paramedics to find alternative treatment sites to emergency departments (EDs).
Data Sharing Tips for Value-Based Payment Arrangements
Value-based contracts require that provider organizations and health plans share data and information that they may not have shared historically. Details about that data-sharing must be established in contracts.
Feb 4-8: CMS Developing ESRD, Cancer Models
Jan. 31—Federal changes coming in 2019 to healthcare payment models slowly emerged this week, as federal healthcare leaders prepare to address a national policy meeting in Washington D.C.
Medicare Expands Value Pay in MA and Part D Plans
Jan. 21—Medicare is expanding its value-based insurance design (VBID) model and creating a new drug plan model.
Value-Based Payment Can Reduce Need for Preauthorizations
BlueCross BlueShield of Western New York has removed prior authorization requirements for more than 500 therapies, services, and procedures in conjunction with its move to value-based payments for primary care providers.
Medicare Shared Savings Program 2019 Final Rule Summary
This document provides a comprehensive summary of December 2018 Medicare Shared Savings Program final rule, published by CMS.
Medicare Shared Savings Program 2019 Final Rule: HFMA Executive Summary
This document briefly highlights noteworthy details of the 2019 Medicare Shared Savings Program final rule, published by CMS.