value-based payments
publication date
Clinical Care
American College of Physicians Pushes Payment Reforms to Boost Value and EquityThe 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 UpdateMultiple hospital groups have released statements blasting CMS' latest payment rate proposal given high inflation costs.
Payer
Do Commercial Value-Based Models Work?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 LoomCQMC 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 BurdensThe 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"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 ModelsIt'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-19Value-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%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 PatientsThere 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 2016The 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 CareCFO Ric Magnuson discusses the value-based contract signed with Blue Cross and Blue Shield of Minnesota prior to the coronavirus...