Partnering With Healthcare Purchasers
Mount Sinai Health System partnered with a trade union to develop a bundled-payment program designed to improve patient outcomes and reduce the purchaser’s costs.
Ask the Experts: Bundled Payment Contracts
What are some changes in the way payment and reimbursement professionals should view health plan contracts when moving to bundled payments?
CY17 Medicare Physician Fee Schedule Proposed Rule Summary
This document summarizes the payment policies included in the CY17 Medicare Physician Fee Schedule proposed rule.
Merit-Based Incentive Payment System (MIPS): Clinical Practice Improvement Activities (CPIA) Performance Category Overview
Summary of the Clinical Practice Improvement Activities (CPIA) Performance Category of the Merit-Based Incentive Payment System (MIPS).
Key Financial and Operational Impacts from the Proposed 2017 Physician Fee Schedule (PFS) Rule
This summary provides key financial and operational impacts from the proposed 2017 physician fee schedule (PFS) rule.
CY17 Medicare Hospital Outpatient Prospective Payment System Proposed Rule Summary
This document provides a detailed summary of the Medicare Hospital OPPS and ambulatory surgical center (ASC) payment systems proposed rule for Calendar Year 2017 (CY17).
Executive Summary: CMS 2017 OPPS Proposed Rule
A brief summary of the Key financial and operational impacts from the 2017 hospital outpatient prospective payment system (OPPS) proposed rule.
MACRA Timeline: MIPS and Advanced APM Reporting Requirements for Payment Year 2019
A timeline for MIPS and Advanced APM reporting requirements for payment year 2019 under MACRA.
Winning Direct Contracts with Employers
Pacific Business Group on Health, a leader in direct contracting, uses an extensive evaluation process to choose the provider organizations for its Employers Centers of Excellence Network.
Hospitals with PBGH Joint Replacement Contracts
Pacific Business Group on Health (PBGH), a membership organization that includes many of America’s largest healthcare purchasers, has developed direct contracts for joint replacements, spine procedures, and bariatric surgery with hospitals across the country.