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.
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.
The Collateral Impacts of MIPS
Tom S. Lee describes the long-term effects a MIPS score can have on providers.
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.
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.
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.
Value-Based Care: Past, Present, and Future
Nick Vennaro delivers a retrospective on value-based care with an eye toward the future.
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.