value-based payment

Coalition Letter on Rising Health Costs and Value-Based Insurance Design

March 1, 2019

The Honorable Lamar Alexander
Committee on Health, Education, Labor, and Pensions
428 Dirksen Senate Office Building
Washington, DC 20510

The Honorable Patty Murray
Ranking Member
Committee on Health, Education, Labor, and Pensions
428 Dirksen Senate Office Building
​Washington, DC 20510

Dear Chairman Alexander and Ranking Member Murray:

The barriers to harnessing data to accelerate the transition to value-based care

There are still roadblocks for effective use of data in value-based care models, experts say.

Real-world evidence can be a driving force behind value-based payments, but the healthcare system has a ways to go before that is a reality, experts said. 

News Author: 
Paige Minemyer

Regulatory Former HHS secretary Leavitt: Why it's time to stop kicking value-based care can down the road

As the buzz around a single-payer health system based around Medicare grows, a former Department of Health and Human Services secretary says it's crucial to keep eyes on a more pressing problem: Medicare is running out of money.

News Author: 
Paige Minemyer

Healthcare Coalition Calls on CMS to Maintain Leadership on Value-Based Payment

WASHINGTON –  The Patient-Centered Primary Care Collaborative (PCPCC) this week called on the Centers for Medicare and Medicaid Services (CMS) to maintain progress on its efforts to drive the shift to value, while empowering beneficiaries through the support of reliable access to primary care. 

Tracking healthcare metrics in the age of value-based payment, what to know

Perhaps the biggest value-based challenge on the finance side is the lack of a single set of metrics by which to gauge quality.

The Department of Health and Human Services threw down the gauntlet in late January when Secretary Sylvia Burwell announced its intention to increase value-based purchasing dramatically in the next few years.

HHS plans to move its payment system to 30 percent value-based in 2016 and 50 percent by 2018. It also plans to have 95 percent of fee-for-service plans include some sort of value and efficiency components by 2018.

News Author: 
Tammy Worth

Statement from the Patient-Centered Primary Care Collaborative's (PCPCC) CEO Marci Nielsen on HHS's Announcement to Expand New Medicare Payment Models

The Patient-Centered Primary Care Collaborative (PCPCC) applauds the U.S. Department of Health and Human Services’ (HHS) goal for 30 percent of Medicare payments to be in alternative payment models by the end of 2016 and 50 percent by the end of 2018. 

HHS’s commitment to alternative payment models, like Accountable Care Organizations (ACOs) and bundled payments, as well as innovative care delivery models, like the Patient-Centered Medical Home (PCMH), signifies a positive shift in payment reform policy that moves away from the traditional fee-for-service (FFS) system.

News Author: 
Marci Nielsen

Value-based care not likely to end payer/provider financial spats

A large payer and health system in California are embroiled in a bitter feud over expired contract terms, the type of fight all too common in the fee-for-service world. With healthcare switching to value-based care, some had hoped these types of financial squabbles would disappear as the interests of providers and payers became more closely aligned on reducing costs. 

News Author: 
Bob Herman

Like It Or Not, Obamacare Is Reshaping The Healthcare Industry

As we approach the one-year anniversary of Obamacare’s launch, the pundits continue to argue over whether or not it’s working. Meanwhile, something much bigger is happening. Whatever you think of its merits, the Affordable Care Act is re-shaping American healthcare, radically altering business models that hadn’t changed in decades.

News Author: 
Janet Novack

Report: Fee for service still dominant method of healthcare payments

Commercial health plans have “dramatically shifted” in how they pay hospitals and physicians, with 40 percent of all payments reflecting value over volume, but 60 percent of payments remain tied to the traditional fee-for-service model, according to the nonprofit Catalyst for Payment Reform.

News Author: 
Dan Verel
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