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publication date

Clinical Care
American College of Physicians Pushes Payment Reforms to Boost Value and Equity
Christopher Cheney | June 24, 2022
The internal medicine specialist society urges renewed effort to shift from volume-based physician payment to value-based payment models.
Finance
Hospital Associations 'Extremely Concerned' About CMS' Proposed Payment Rate Update
Amanda Schiavo | April 20, 2022
Multiple hospital groups have released statements blasting CMS' latest payment rate proposal given high inflation costs.
Payer
Do Commercial Value-Based Models Work?
Laura Beerman | April 14, 2022
Two decades of innovation reveal mixed findings for quality, cost, and utilization?and unclear ways to resolve.
Payer
5 Value-Based Measure Sets Get Update as Equity, Tracking Needs Loom
Laura Beerman | March 30, 2022
CQMC has also published a measurement gap and alignment analysis that calls for new health equity measures and digital approaches...
Technology
AAFP Eyes Technology to Help Family Practices Reduce Administrative Burdens
Eric Wicklund | February 24, 2022
The American Academy of Family Physicians is looking to help primary care providers shift from a fee-for-service model to a...
Payer
How Payers Are Linking Community-Based and Value-Based Care to Strengthen Outcomes and Equity
Laura Beerman | January 06, 2022
"Many community-based organizations lack sustainability. It is up to payers?or the holders of the financial and outcomes risk for the...
Revenue Cycle
Blue Cross Blue Shield of Massachusetts Will Incorporate Equity Measures into Payment Models
Alexandra Wilson Pecci | September 27, 2021
It's the first health plan in Massachusetts to announce such a plan, which will start in 2023.
Clinical Care
Value-Based Healthcare: How It Expanded During COVID-19
PSQH | August 09, 2021
Value-based payment models were not only good for business during the pandemic, but also ushered in a new acceptance of...
Clinical Care
Bundled Payment Program Reduced Surgery Costs By 50%
Alexandra Wilson Pecci | April 16, 2021
The payment model assesses surgical necessity; bundles payments for certain elective surgical procedures; ensures appropriate site of care and use...
Revenue Cycle
Bundled Payment Program Yields Big Savings for Commercially Insured Patients
Alexandra Wilson Pecci | March 02, 2021
There was an average savings of $16,144 per procedure when the surgery was performed through the Carrum Health program.
Finance
CMS: Medicare FFS Improper Payments Down $15B Since 2016
Jack O'Brien | November 17, 2020
The decline was due in part to improvements in home health, including a $5.9 billion decrease in estimated improper payments...
Finance
Allina Health CFO Details How the Pandemic Will Affect Value-Based Care
Jack O'Brien | September 24, 2020
CFO Ric Magnuson discusses the value-based contract signed with Blue Cross and Blue Shield of Minnesota prior to the coronavirus...
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