News Room

As the healthcare industry moves away from traditional fee-for-service reimbursements towards a new era of accountable, cost-conscious, coordinated care, healthcare organizations are actively seeking new patient management strategies to...
Doctors are seeing more payments from value-based care contracts, but fee-for-service medicine that pays physicians based on volume is still dominant, new data shows. Nearly one-third, or 32%, of physicians were offered a production bonus...
A new final rule will improve how Medicare pays accountable care organizations in the Medicare Shared Savings Program to deliver better patient care and care coordination.  The Centers for Medicare & Medicaid Services said the final...
The Centers for Medicare & Medicaid Services (CMS) today released a final rule improving how Medicare pays Accountable Care Organizations in the Medicare Shared Savings Program for delivering better patient care. Medicare is moving...
The accountable care organization (ACO) model faces a pivotal moment, and its success or failure depends on what the federal government does next, argues a new white paper from the National Association of ACOs (NAACOS). The whitepaper, "...
The debate over the true value of the patient-centered medical home (PCMH) continues with a new study by Geisinger Health System, which indicates that the comprehensive care framework may be able to reduce the total costs of patient care...
The past several decades have produced remarkable technological and therapeutic innovations in the prevention and treatment of disease resulting in impressive reductions in morbidity and mortality.  These enhanced clinical outcomes...
The United States health care system is undergoing a major transformation in response to concerns that in its current form the system is unsustainable. Health care costs continue to rise, health care is often fragmented and quality is...
The Center for Medicare and Medicaid Innovation (CMMI, or “the Innovation Center”) recently announced an initiative called Comprehensive Primary Care Plus (CPC+). It evolved from the Comprehensive Primary Care (CPC) initiative, which began...
The Centers for Medicare & Medicaid Services (CMS) has opened up its new Comprehensive Primary Care Plus (CPC+) initiative to 1,500 eligible primary care practices currently in the Medicare Shared Savings Program (MSSP). Announced in...
Hospitals are gearing up for population health management, according to a new survey by the nonprofit eHealth Initiative, but complex electronic health records systems continue overburdening physicians at the point of care enough to...
Marty Levine, MD, of Shoreline, Washington, doesn’t practice medicine in the same way that most primary care physicians do today.  He hasn’t worried about billing anyone for two years.  He takes his time with each patient, often lingering...
President and General Manager, Anthem Blue Cross and Blue Shield In 2010, as vice president of payment innovation at Anthem Inc., Jill Rubin Hummel spearheaded a company-wide effort to more from a fee-for-service payment model, in which...
May 23, 2016 | Healthcare Reform By David Raths CMS has long maintained that primary care is central to the transformation it is seeking to bring to the nation’s health system. Showing the strength of that conviction, in April the agency...
Providers must establish a respectful relationship with patients if they want to have a positive impact on behavior. Technology can help but it’s not a substitute for reaching people where they live and work. By Mike Miliard May 20, 2016...
Population Health is the latest topic talked about in every innovation and investor setting, yet it has been in the making for decades. Frameworks have been made publically available for years by thought leadership groups such as the ...
The medical home has become a widely accepted model for how primary care should be organized and delivered throughout the healthcare system. It is a place where patients are treated with respect and dignity, to enable strong and trusting...
What's one of the most effective ways to get doctors to change their referral and drug-prescribing habits, two of best-known drivers of health care costs? Tap into their competitive sides. That's what CareFirst BlueCross BlueShield CEO...
May 14, 2016    By Glen Stream, MD, FAAFP, MBI As a primary care physician, my responsibility to my patients goes beyond just caring for their physical well-being. My obligation—professional and ethical—is to treat the whole person and...
CMS published a fact sheet detailing the flexibility and support built into the proposed rule for the Medicare Access and CHIP Reauthorization Act for physician practices of 15 or fewer providers. The fact sheet comes in response to an...

Pages

Go to top