Reducing Cancer Costs: Lessons from Leading Oncology Practices
Sita Kapoor highlights seven lessons learned from early participants in the CMS Oncology Care Model about reducing cancer care costs.
5 DRGs Are Primary Contributors to Rising Average Loss per Medicare Hospital Admission
Among Medicare admissions in 2015 to 2017, costs per admission rose more rapidly than did payments, and the impact of this trend on hospitals’ financials strongest with admissions associated with 5 DRGs.
Number of MSSP ACOs and Shared-Savings Characteristics
The number of ACOs participating in the Medicare Shared Savings Program increased at a faster rate from 2013 to 2018 than did the number of participants that achieved shared savings in the first four years of the program.
Who’s Afraid of a Little Risk?
The Medicare ACO modeled advanced by CMS has encountered some challenges, but it still holds promise if CMS addresses the flawed idea of retrospective attribution of patients to an ACO.
Value-Based Care Is a Better Investment for Everyone
Griffin Myers explains the value of value-based care.
CMMI’s “New Direction” Comments Indicate Enthusiasm of Healthcare Stakeholders
Dave Terry describes how feedback to a CMS announcement last fall has spurred another request.
Ask the Experts: Calculating Contract DRGs
What is a simple way to accurately determine my current base DRG rate?
The Study of Factors Influencing the Total Cost of Health Care
A study conducted by HFMA, Leavitt Partners, and McManis Consulting investigated factors driving the total cost of health care in the United States.
MA Ruling May Signal Industry Readiness to Integrate SDH into Traditional Medical Care
In addressing social determinants of health and social services, a recent Medicare Advantage ruling by CMS may have taken the first steps toward providing more integrated and comprehensive care to the nation’s aging population.
The Current Outlook for Value-Based Care Under the Trump Administration
Value initiatives introduced by the Affordable Care Act have met with varied success. Under the Trump administration, the future of these initiatives is uncertain.