What’s the blueprint for taking on risk?
Providers and health plans need to collaborate — both in the planning and execution of risk-based contracts — in order to make them work.
Providers press CMS for details amid lingering uncertainty about new primary care models
The possibility of conflicts between Medicare payment models joined the customary concern about benchmarking details in provider feedback on coming primary care models, an administration official said.
Marcus Whitney says it’s time healthcare leaders embrace disruption
Industry disruption presents opportunities for established healthcare organizations to partner with emerging companies. For that to happen, the entrepreneur says, leaders need to find the right mindset.
Integration supports Presbyterian’s ‘Complete Care’ program
Presbyterian Healthcare Services, based in Albuquerque, is a locally owned, not-for-profit health system of nine hospitals, a statewide health plan and a growing multispecialty medical group. We serve one in three New Mexicans through our healthcare services and insurance coverage. For Presbyterian patients with serious, complex medical needs, we offer a high-touch program that combines primary,…
Analysis: Effect of expansion of pre-tax accounts for employees to purchase insurance
HFMA's Chad Mulvany shares the possible impact of a proposed rule that allows employers to make pre-tax contributions for employees to purchase individual coverage starting in 2020.
CMS identifies keys to success in bundled payment as BPCI-A deadline looms
Ahead of next week’s deadline for providers to join the largest voluntary bundled payment program, the agency in charge of the program identified lessons learned from successful participants.
Analysis: Price check in the EHR
Humana may be a more desirable partner for physicians interested in risk arrangements if its collaboration with Epic reduces potentially preventable ED and inpatient utilization due to increased medication adherence.
Four key takeaways from Congress’s latest single-payer hearing
Although the first hearing by a healthcare committee on recent coverage expansion proposals was supposed to encompass a range of Democratic bills, national single-payer proposals garnered almost all the attention.
Analysis: No surprise, legislators split on surprise-bill draft legislation
The House Energy and Commerce Health Subcommittee was split on how to pay providers in the No Surprises bill draft discussed during a legislative hearing June 12.
Change Healthcare: Accelerating healthcare innovation by productizing APIs
Change Healthcare talks about transforming the approach to application programming interfaces (APIs) to deliver them as individualized products that solve healthcare-specific problems.