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New Models Redefine Primary Care
CPC+ is among the advanced primary care initiatives that encourage providers to enhance their approach to health care in a way that boosts quality and patient engagement.
Negotiating Tips for ACO Contracting
Successful payer negotiations to launch commercial ACOs will depend on careful preparation and understanding of hospitals’ capabilities, says George Wojtal.
Geisinger’s Money Back Guarantee Targets Patient Experience
By offering a money-back guarantee for service, Geisinger Health System hopes to learn how to achieve 100 percent patient satisfaction.
Utilization Review Reduces Inpatient Denials
Covenant Health’s utilization review strategies have helped the health system recoup the difference between inpatient and observation status payments.
Building a Sustainable Telehealth Program
To ensure their telehealth program is financially sustainable, healthcare organizations must establish appropriate objectives, be strategic about technology, understand the financial risk, and use suitable performance metrics.
Accounting for Non-Performance-Related Variation in Shared Savings Contracts
Variation between targeted and actual PMPM costs can be due to numerous factors, including many that have nothing to do with the quality or cost of care provided to ACO members.
Six Ways to Address Non-Performance-Related Variation in ACO Contracts
While not yet a perfect science, payers and providers can begin to address non-performance-related variation in a number of ways.