Healthcare Reform

No Easy Choices: What Lies Ahead for Healthcare Reform

Authors of the bill to replace the Affordable Care Act face a complex challenge in attempting to make high-quality care available to a large population at affordable rates.

By Timothy Stoltzfus Jost March 22, 2017

Contemplating the Potential Impact of the AHCA

Understanding legislation proposed to repeal and replace the Affordable Care Act (ACA) is important, given that a bill to repeal and replace the ACA seems inevitable.

By Mark Polston, JD March 21, 2017

Building a Value Model for Population Health Management

A data-driven “value model” can help healthcare organizations plan the scale and pace of investments into population health management in preparation for value-based contracting.

By Daniel J. Marino February 21, 2017

Alternative Payment Models: The Courage to Lead

Healthcare finance leaders are finding the courage to move forward with value-based payment despite the uncertainties of a new administration in Washington, D.C.

By Joseph J. Fifer, FHFMA, CPA February 21, 2017

From “No Plan” to Multiple Plans, but No Consensus to Date

As the Republican-led Congress considers ways to fulfill campaign promises to repeal and replace the Affordable Care Act, they face practical challenges and a lack of consensus about how to proceed.

By Gail R Wilensky, PhD February 21, 2017

Primary Care Quality Incentive Program: Focus of Patient Satisfaction Questions

Bon Secours Virginia Medical Group’s primary care quality incentive program has eight measures that focus on patient satisfaction. 

By HFMA February 21, 2017

Value-Based Compensation for Primary Care: A Success Story

Bon Secours Virginia Medical Group developed a quality-based bonus program to prepare its primary care physicians for valued-based payment models.

By David L. Kelly February 21, 2017

Value-Based Care: Not Just for Primary Care Practices

Donna Levigne of Blue Cross and Blue Shield of Illinois explains why the health plan makes specialty care a priority in value-based care contracting.

By Donna Levigne February 16, 2017

Video: Tips for Direct-to-Employer Contracts from UNC Health

Understanding the time commitment and negotiation strategies around direct-to-employer contracts are key areas for payment and reimbursement leaders to consider.

By HFMA February 16, 2017

Finding a Better Way to Handle Claim Attachments

Standardizing the electronic submission of claims attachments is a hot topic in the industry as stakeholders look for ways to reduce costs.

By Laura Ramos Hegwer February 15, 2017
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