Former CMS Leaders: ACO Changes Are Coming
May 11—Medicare accountable care organizations (ACOs) are likely to face an imminent overhaul, according to former leaders of the program.
Medicare Chief Targets Upside-Only ACOs
May 7—Medicare accountable care organizations that don’t accept downside risk are not producing results, says Seema Verma, administrator of the Centers for Medicare & Medicaid Services.
Ensuring a High-Performing Referral Network
To be able to ensure patients receive high-quality care under value-base payment arrangements, primary care physicians require well-developed specialty networks for patient referrals.
Closing the Gaps in Value-Based Care
Jeffrey Springer describes five steps in the evolution of value-based care.
Value-Based Payment and Cost of Care
HFMA President and CEO Joseph J. Fifer, FHFMA, CPA, offers perspectives on new research showing that value-based payment has yet to reduce the total cost of care.
Where Health Plan-Provider Value-Based Partnerships Trip Up
May 1—An inability to successfully integrate clinical and claims data is among the key challenges in creating and sustaining health plan-provider value-based partnerships, said an executive involved in one such effort.
Choosing the Right Path Forward for Value-Based Care
Thomas Schenk, MD, of BlueCross BlueShield of Western New York describes the health plan’s approach to supporting primary care physicians with a capitated payment system that accounts for local-market characteristics.
The Study of Factors Influencing the Total Cost of Health Care
A study conducted by HFMA, Leavitt Partners, and McManis Consulting investigated factors driving the total cost of health care in the United States.
What Is Driving Total Cost of Care?
A recent study identifies key factors that may be influencing total cost of care in the United States and provides recommendations for addressing those factors.
Value: The Way Forward
Value-based payment won’t bend the cost curve unless healthcare organizations commit to fundamental change. Not everyone will come out whole.