Programs developed by Dean Ornish, MD, for coronary artery disease, Type II diabetes, and early-stage prostate cancer are expected to extend Healthways' existing portfolio of well-being improvement programs.
The health insurer's goal is to shift its physician network from fee-for-service payments to a value-based compensation model that rewards physicians for the quality of that care and may reduce healthcare costs.
Commercial accountable care organizations make strange bedfellows out of payers and providers. Accustomed to hardball contracting negotiations, payers and providers find the transition from adversary to partner an uneasy one. These tips can help.
Plus ACO, a partnership between Texas Health Resources and North Texas Specialty Physicians, has plans to leave the Pioneer ACO program by mid-August, but the two organizations say they are open to "remaining in the [Pioneer] ACO program if we can find an economically...
Seven of the nine participants in CMS's pilot program for accountable care organizations are applying to transition to the Medicare Shared Savings Program, while two are abandoning the program completely.
A house subcommittee will have another chance next week to amend a draft proposal to kill the sustainable growth rate formula. Without a "doc fix" in place, physicians who treat Medicare patients will face a 24.4% cut in reimbursement rates in 2014.
Members of the House Ways and Means Committee Subcommittee on Health and witnesses spent more than two hours Tuesday debating the value of the employer mandate and the potential impact of its delay, at times testily.
At least four of the 32 Pioneer ACOs are in the process of notifying their providers that they intend to shift to the Medicare Shared Savings Program, and up to five more could follow. "They've learned that they...
Cost and forgetfulness play a large role in non-adherence, but even when medications are supplied at no cost, adherence hovers around only 50%. Forging personal connections with pharmacy staff can help, one insurer says.