Limited BPCI savings seen with joint replacement bundles
CMS’s new BPCI-A model incorporates patient complexity into the risk-adjustment mechanism, but it remains to be seen if it will solve all issues with the previous model.
BPCI Advanced participation jumps by 57% in its third year
Provider participation in the largest Medicare voluntary bundled payment program surged in its third year.
Analysis: Aspire Health Founder Brad Smith chosen as new CMMI director
The change in CMMI leadership could mean long-anticipated models are released, and may signal more emphasis on palliative care in future models based on Brad Smith’s background.
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An interview With Ceci Connolly, president and CEO of the Alliance of Community Health Plans
Ceci Connolly, president and CEO of the Alliance of Community Health Plans, talks about risk and behavioral economics.
Addressing the social determinants of health
Nancy Johnson, CEO of El Rio Community Health Center in Tucson, talks about her organization’s processes for addressing the social determinants of health among its patient population. The interview is a follow-up to a panel discussion at HFMA's 2019 Thought Leadership Retreat. Also in this episode: insights on effective leadership of teams and pricing strategy objectives.
Atrius Health: Experience with global-risk contracts paves way to success in new arrangement
Previous success in risk-based contracts will allow Atrius Health to thrive in its new global-risk arrangement with Blue Cross Blue Shield of Massachusetts, two of the provider’s leaders write.
Number of Medicare ACOs stays flat, but risk-taking increases
The number of Medicare ACOs has stagnated, but many more are taking on financial risk.
Capitalize on purchased services’ unusual suspects to enhance revenue
A transformative healthcare company outlines some conventional and unusual strategies for streamlining purchased services spend to expand margins and drive revenue.