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.

Ellen Galardy September 25, 2017

Is Focus of Value Based Care Moving From Hospitals to Physicians

Recent changes to bundled payment models are the among the developments that suggest the Trump administration may be seeking to shift the focus of value-based care from hospitals to physicians.

Rich Daly September 20, 2017

The Collateral Impacts of MIPS

Tom S. Lee describes the long-term effects a MIPS score can have on providers.

Tom S. Lee September 7, 2017

Closing Health Care’s Value Gap

To ensure current and future success, healthcare providers must take deliberate action to bridge the gap between volume-based payment and value-based payment.

Rulon Stacey July 31, 2017

Taking Control of Pay-For-Performance Contracts

To ensure their organizations perform effectively under risk contracts, healthcare finance leaders should implement a work plan to manage the contracts.

Paul Selivanoff, CPA July 31, 2017

Video: Key Points of Focus for Hospitals: CMS Strategy, Bundled Payment, and Cost of Care

Larry Goldberg, principal, Larry Goldberg Consulting, takes a look at bundled payments, quality outcomes, and the cost of providing services.

HFMA June 30, 2017

Value-Based Care: Past, Present, and Future

Nick Vennaro delivers a retrospective on value-based care with an eye toward the future.

Nick Vennaro June 5, 2017

Value-Based Care Elevates the Role of the Registered Nurse in Primary Care

One way primary care practices can improve their likelihood of success in value-based care initiatives is by streamlining their practices with the help of their registered nurses. 

Michelle McCleerey May 26, 2017

Fishing Lessons

Providers may object when value-based savings accrue to health plans. Although those objections have merit, other factors should be considered when formulating strategy.

Joseph J. Fifer, FHFMA, CPA May 23, 2017

APCs: An Important Primary Care Resource for Value-Based Care

Health systems should look to advanced practice clinicians, including nurse practitioners and physician assistants, as qualified providers who can fill the gaps in primary care resulting from a declining supply of primary care physicians.

David Fairchild, MD, MPH May 23, 2017
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