Clinical CareAmerican College of Physicians Pushes Payment Reforms to Boost Value and Equity
The internal medicine specialist society urges renewed effort to shift from volume-based physician payment to value-based payment models.
FinanceHospital Associations 'Extremely Concerned' About CMS' Proposed Payment Rate Update
Multiple hospital groups have released statements blasting CMS' latest payment rate proposal given high inflation costs.
PayerDo Commercial Value-Based Models Work?
Two decades of innovation reveal mixed findings for quality, cost, and utilization?and unclear ways to resolve.
Payer5 Value-Based Measure Sets Get Update as Equity, Tracking Needs Loom
CQMC has also published a measurement gap and alignment analysis that calls for new health equity measures and digital approaches...
TechnologyAAFP Eyes Technology to Help Family Practices Reduce Administrative Burdens
The American Academy of Family Physicians is looking to help primary care providers shift from a fee-for-service model to a...
PayerHow Payers Are Linking Community-Based and Value-Based Care to Strengthen Outcomes and Equity
"Many community-based organizations lack sustainability. It is up to payers?or the holders of the financial and outcomes risk for the...
Revenue CycleBlue Cross Blue Shield of Massachusetts Will Incorporate Equity Measures into Payment Models
It's the first health plan in Massachusetts to announce such a plan, which will start in 2023.
Clinical CareValue-Based Healthcare: How It Expanded During COVID-19
Value-based payment models were not only good for business during the pandemic, but also ushered in a new acceptance of...
Clinical CareBundled Payment Program Reduced Surgery Costs By 50%
The payment model assesses surgical necessity; bundles payments for certain elective surgical procedures; ensures appropriate site of care and use...
Revenue CycleBundled Payment Program Yields Big Savings for Commercially Insured Patients
There was an average savings of $16,144 per procedure when the surgery was performed through the Carrum Health program.
FinanceCMS: Medicare FFS Improper Payments Down $15B Since 2016
The decline was due in part to improvements in home health, including a $5.9 billion decrease in estimated improper payments...
FinanceAllina Health CFO Details How the Pandemic Will Affect Value-Based Care
CFO Ric Magnuson discusses the value-based contract signed with Blue Cross and Blue Shield of Minnesota prior to the coronavirus...