HHS Nominee Would Support Mandatory Models
Jan. 11—Mandatory Medicare payment pilots could return under the leadership of the nominee to direct the U.S. Department of Health and Human Services, he said this week.
When Push Becomes Pull: The Next Phase of the Transition to Value
The healthcare industry’s transition to value-based payment will likely continue, driven by physician interest in advanced alternative payment models.
hfm Magazine: January 2018
hfm Magazine: January 2018
Emerging Value-Based Payment Trends Transforming Health Care in 2018
Hospitals and health systems plan a range of care delivery innovations in 2018 to help them reach more of the quality improvement goals of various payment models.
Two Sides to the APM Coin: Why APMs Work for Some and Not For Others
Integrated delivery systems are at a disadvantage under alternative payment models (APMs), which has hindered the success of these models; redesigning how shared savings are distributed to address this disadvantage may help promote the success of APMs.
Calling Into Question the Nation’s Commitment to Value-Based Health Care
There is widespread agreement that the goal of transitioning the nation’s healthcare system to value-based payment is important, but there remain many impediments to accomplishing such a transition.
Rethinking Health Care’s Triple Aim
Achieving health care’s Triple Aim has proved elusive, but it may be yet be achievable through a process of engaging rising-risk patients in their own care through daily self-reporting.
Targeted Care Integration Can Help Drive Success Under Risk Contracts
Providers can avoid many of the missed opportunities associated with risk contracts by carefully reviewing the targeted patient population, narrowing the number of performance metrics, and selecting the right clinicians to participate.
Value-Based Payment and Commercial Healthcare Insurers: Getting Paid for Doing What’s Right
Healthcare providers may find that their managed care contracts include provisions that may have been beneficial under a fee-for-service payment model but are highly unfavorable under a value-based payment.
Highmark Sees the ‘Value’ in VBID for MA Plans
Ellen Galardy of Highmark, Inc. describes the health plan's participation in a value-based insurance design pilot that seeks to improve the care of chronic conditions.