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...
FinanceUnderstanding CMS' Proposed Value-based Purchasing Rule
An industry stakeholder says the proposal could be a "a positive sign" for providers entering value-based arrangements.
Revenue CycleCareMount CFO Says COVID-19 Threw a 'Wrench' in Next-Gen ACO Plans
Kevin Conroy, CFO and chief population health officer at CareMount Medical, is encouraged by CMS's decision to extend its Next...
Clinical CareHarvard Medical School Professor Advances Healthcare Innovation
Neel Shah, MD, is exploring frontiers of OB-GYN, value-based care, and medical innovation.
StrategyWhat to Expect in 2020: An Even Greater Focus on Social Determinants of Health
The question now is whether emerging reimbursement models will shift things into high gear or maintain the unhurried status quo.
FinanceMayo's Structured Compensation Model Tackles Gender Pay Inequality
A review of compensation for 2,845 Mayo physicians ? including 861 women ? affirmed pay equity in 96% of the...