Newer Health Plan Products Align With Value-Based Care
With the clout to steer the healthcare industry away from a volume-based approach, health plans are implementing innovative payment models.
CHIP Deal Lifts Pressure on Hospital Margins
Jan. 24—Children’s hospitals got a big financial boost from the recent deal to fund the Children’s Health Insurance Program (CHIP) for six years as part of a short-term funding bill.
Hospital Spending Growth Slows in 2017
Jan. 22—Hospital spending grew less than half as fast in 2017 as it did the year before, according to a recent economic trends analysis.
Strategies to Measure Performance and Enhance Quality Under MIPS
Access to flexible, robust tracking tools that produce a range of actionable data are proving crucial for physicians participating in the primary track of MACRA.
2018 CMS Plans: New Models, Cuts to Measures, and Simplification of CoPs
Jan. 18—Hospitals will see some of their leading regulatory concerns addressed in 2018 by the Centers for Medicare & Medicaid Services (CMS), according to the agency’s leader.
Policy Changes Needed to Sustain CAHs: Report
Jan. 17—New policies and legislation are needed to financially bolster critical access hospitals (CAHs), even as some such organizations may need to be downsized, according to a bipartisan report.
Executive Summary: CMMI Bundled Payment for Care Improvement Advanced Model – Request for Applications Released
This document provides a brief summary of the Center for Medicare and Medicaid Innovation's (CMMI's) request for applications for the Bundled Payment for Care Improvement Advanced payment model.
Video: Tips for Secure Medical Record Transmission to Payers
Common mistakes are not using security options to send records and not tracking what data or claims are sent.
Advancing Contracting Strategy in a Complex Environment
Providers should approach their contracting portfolios with the intent to drive value creation across all payers and products. Likely challenges will be narrow networks and tiering and the transition from fee-for-service to value-based care.
Medicare ACOs Increase by 18 Percent in 2018
Jan. 16—Medicare increased its number of accountable care organizations (ACOs) by 18 percent in 2018, even as a participation cliff looms for many.