Emerging Value-Based Payment Trends Transforming Health Care in 2018
Hospitals and health systems plan a range of care delivery innovations in 2018 to help them reach more of the quality improvement goals of various payment models.
CMMI’s “New Direction” Points to the Future of Bundled Payments
Dave Terry outlines the future of the Center for Medicare & Medicaid Innovation.
CMS Quality Payment Program CY18 Final Rule Summary
This document summarizes the CY18 Quality Payment Program (QPP) final rule.
MACRA’s Quality Payment Program in 2018: What Hospitals Need to Know
Hospitals are not exempt from the impacts of the Medicare Access and Chip Reauthorization Act (MACRA), and they therefore should understand the provisions of the recently issued final rule on MACRA’s Quality Payment Program.
Pharmacy Costs: Are You Paying for Value Yet?
Insurers are setting precedents for value-based payment for medications.
CMS 2018 PFS Final Rule Summary
This document provides a detailed summary of the CY18 Physician Fee Schedule (PFS) final rule, published by CMS.
Focus on Eliminating Avoidable Readmissions Historical Perspective
A collaboration between a hospital and a skilled nursing facility (SNF) aimed at improving care of the SNF’s residents and preventing avoidable readmissions from the SNF to the hospital offers an important lesson for other such providers.
Two Sides to the APM Coin: Why APMs Work for Some and Not For Others
Integrated delivery systems are at a disadvantage under alternative payment models (APMs), which has hindered the success of these models; redesigning how shared savings are distributed to address this disadvantage may help promote the success of APMs.
More Than a ZIP Code: Socioeconomic Data for Improving Patient Outcomes
The shift to value is encouraging healthcare providers to tap into previously underutilized resources to gather useful patient data.
Why Hospitals Should Partner With Home Health Agencies
By bringing post-acute care into patient homes, home health services are reducing readmissions by 31 percent and overall healthcare costs by 24 percent.