Protecting Revenue at Risk
A pocket guide to help hospitals and health systems navigate pay-for-value programs.
Developing a Future Generation Integrated Healthcare System
To envision new and better ways to rapidly reduce healthcare costs, the U.S. healthcare industry should take a lesson from approaches used by other countries, including China.
The Benefits of Direct-to-Employer ACO Arrangements
Clifford Fullerton, president of Baylor Scott & White Quality Alliance, describes a direct-to-employer accountable care organization arrangement that is improving patient access and care quality.
Value Initiative for IPA Performance Proves Its Worth
John Baackes, CEO of L.A. Care Health Plan, describes the plan’s approach to assessing the value of independent practice associations to ensure high-quality member service.
March 19-23 Policy Watch: Push to Include ACA Marketplace Stabilization in Funding Bill
March 15—Healthcare leaders are renewing their push to include a stabilization measure in a must-pass federal funding bill that is required by the end of next week.
MACRA Improvements Coming, CMS Official Says
March 13—A series of regulatory changes are coming to the Medicare physician payment system this year, including an effort to ease quality-data reporting by hospital-employed physicians.
Insurer Data Requests Prompt Hospital Policy Overhauls
March 12—As health insurers increasingly get involved in patient care management, they are requesting clinical data on individual patients from hospitals and health systems.
Where Is the Federal Government Going on Value-Based Pay?
March 9—Comments from the leader of federal healthcare policy disparaging the leading value-based payment models and hinting at new directions left some industry analysts confused, but others saw evidence of emerging models.
Will CMS Allow Limits on Medicaid Eligibility?
March 7—Federal officials this week approved the third Medicaid waiver that requires work or other steps by beneficiaries but put off a decision on the key question of limiting eligibility.
How One ACA Insurer Had Its Best Year in 2018
March 6—In a year when individual-market insurance enrollment dipped nationally, the dominant insurer in Florida had its largest enrollment yet.