Connecticut’s launch of a bundled payment program for its employee health plan is part of an effort to save the state $185 million | HFMA
HFMA’s Chad Mulvany says some state governments, like Connecticut, have high enough volumes that COVID-19 may accelerate their adoption of value-based payment models.
CMS unveils the Geographic Direct Contracting model
The Geographic Direct Contracting model will test full-risk arrangements for healthcare entities serving thousands of Medicare beneficiaries within defined geographic areas.
Big value-based payment shifts may happen during a Biden administration
A Biden administration could undertake many changes to federally operated value-based payment models, say industry watchers.
Walmart’s plans to test narrow networks selected on quality could set stage for a shift in employer-sponsored insurance
Walmart plans a ground-breaking test of narrow networks for its employee health plan that will test both enrollee acceptance and physician cooperation.
Stark, Anti-Kickback changes draw praise from providers
Final rules modifying enforcement of the Stark Law and the Anti-Kickback Statute aim to remove barriers to participation in value-based payment models.
Lessons learned from the transition from volume to value
To effectively transition to value, ACO must fully grasp the success factors that will determine future success under value-based payment, including success with downside risk. A research study examined key organizational, financial, market and other characteristics that support the decision to take on risk.
Hospitals and health systems remain optimistic, overall, about APMs
An August HFMA survey, sponsored by GHX, found that, overall, hospitals and health systems are optimistic about seeing improvements in coordination and collaboration with partners in risk-based payment models over the next five years. The findings suggest organizations are moving ahead unabated in their value-based payment strategies.
Providers urge Congress to act quickly on COVID-19 assistance, value-based payment
Hospitals and other providers are urging the lame-duck Congress to provide more COVID-19 provider relief and to tweak rules for physicians in value-based payment models.
Healthcare revenue cycle leaders, it’s your move
Healthcare providers can benefit from using a chess-inspired strategy to rebuild the revenue cycle after COID-19, as they continue to prepare or value-based care.
Could value-based payment be used to shore up the Medicare trust fund?
September estimates that the Medicare hospital trust fund will be insolvent by 2024 could mean value-based payment will play a role in buttressing the fund.