News Room
October 7, 2016 | Forbes
Value-based care continues to be an area of emphasis, and more efforts are being made to transition doctors and hospitals to this payment structure. There is belief, and some evidence, that we may be able to substantially improve the...
October 5, 2016 | Modern Healthcare
More employers are setting up value-based reimbursment and payment arrangements with health insurers and providers to encourage better employee health outcomes and reduce costs.
This year, 45% of employers are giving employees access to...
October 5, 2016 | Healthcare Informatics
The Chicago-based American Medical Association has developed several online tools to assist physicians with preparing for and transitioning to pending Medicare payment and delivery changes under the Medicare Access and CHIP Reauthorization...
October 4, 2016 | Primary Care Progress
It's National Primary Care Week! The theme is improving health care access for all. One way we believe that the health care system can do that is through interprofessional team-based care. Many health care providers love the concept, but...
October 3, 2016
The Center for Medicare & Medicaid Innovation (CMMI) in the Centers for Medicare & Medicaid Services (CMS) has selected Mathematica Policy Research to evaluate the largest and most ambitious reform of primary care payment and...
October 3, 2016 | The John A. Hartford Foundation
An important new paper titled "Patient-Centered Medical Homes and the Care of Older Adults: How comprehensive care coordination, community connections, and person-directed care can make a difference” provides a roadmap to guide primary...
October 3, 2016 | Society of Teachers of Family Medicine
BACKGROUND AND OBJECTIVES: The transformation of primary care (PC) training sites into patient-centered medical homes (PCMH) has implications for the education of health professionals. This study investigates the extent to...
September 29, 2016
Population health management is a top priority for the majority of healthcare organizations, especially those who acknowledge that risk-based, value-driven reimbursements may soon be the dominant form of payment across the industry. ...
September 29, 2016 | Fierce Healthcare
As hospitals, systems and practices gear up to make needed adjustments under MACRA, the Centers for Medicare & Medicaid Services’ top official advises that “the best way to go fast is to start slow.” Andy Slavitt, acting administrator...
September 28, 2016 | Fierce Healthcare
A review of Medicaid accountable care organizations in six states shows they all actively engage consumers, but because these efforts vary in format and effectiveness, there is some opportunity for improvement.The review, which the Center...
September 27, 2016 | Fierce Healthcare
Healthcare must address the population of high-risk patients with complex needs, and policymakers have numerous opportunities to rise to the occasion.
September 26, 2016 | Becker's Hospital Review
The conventional role of the provider is changing. Where physicians once stood alone, a team of practitioners is emerging to more efficiently provide high-value care across patient populations.
These changes mean new skill sets are needed...
September 26, 2016 | Health IT Analytics
A new initiative being rolled out in clinics in three states is looking to transform primary care services by implementing a high-performance, lower-cost model that prioritizes patient engagement and population health management.
The...
September 21, 2016 | Modern Healthcare
The CMS is considering unveiling a new web tool that helps clinicians assess the potential impact of merit-based incentive payment systems (MIPS) on their reimbursement. It will also help them evaluate their performance under the system...
September 21, 2016 | Health Payer Intelligence
Transitioning to value-based care reimbursement and managing accountable care organizations (ACOs) comes fraught with specific challenges. Both reports from healthcare organizations and interviews with experts who’ve implemented ACOs tend...
September 21, 2016 | RACMonitor
About this time each year, consumers get the opportunity to see what goods and services various entities are introducing into the national marketplace – and the Centers for Medicare & Medicaid Services (CMS) is no different, as it is...
September 19, 2016 | Health Affairs Blog
There is broad consensus that physician and other provider payment methods need to evolve from rewarding “volume” to promoting “value.” But what that means exactly, and what will be the recipe for success, is yet to be determined. It’s a...
September 19, 2016 | Modern Healthcare
The healthcare consulting company Premier has released a detailed plan for improving the Affordable Care Act by focusing on patient-centered care that gives providers flexibility while holding them accountable for providing quality of care...
September 19, 2016
The Medicare Payment Advisory Commission (“MedPAC”) met in Washington, DC, on September 8-9, 2016. The purpose of this and other public meetings of MedPAC is for the commissioners to review the issues and challenges facing the Medicare...
September 19, 2016
Current fee-for-service (FFS) payment rates for physician visits trace to the origins of Blue Cross Blue Shield insurance in the 1930s. At that time, rates were set that paid generously for hospitalizations and for procedures, such as...
