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.
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.
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.
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.
Ask the Experts: Telemedicine Payments
Are you offering and billing for telemedicine consults, and are you able to bill for the services when using providers across your system?
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.
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.
Ask the Experts: Payer Payments
Are there any benchmarks for how quickly payers should get back to us on claims and denials?
Managing the Ethical Aspects of MACRA
Value is the key driver and organizing principle of MACRA and MIPS. Therefore, it is critical to define value from the view of different healthcare stakeholders.
Identifying the Gap Between Hospital and Free-Standing Prices
One-third of healthcare finance leaders have created separate pricing for certain outpatient procedures versus inpatient procedures to mitigate volume migration from hospitals. Their greatest concerns are how low the pricing should go and how will this pricing impact the bottom line.