Big Medicare bundled payment changes could cut participation, advisers say
Most BPCI-A participants will see major changes in 2021 ahead of a mandatory model in 2024, CMS says.
Despite the pandemic, hospitals continue to shift toward value-based payment
Hospitals plan to continue moving to value-based payment despite obstacles to caring for patients under risk-based contracts amid the COVID-19 pandemic.
CMS finalizes requirement for hospitals to report MA plan rates
Pandemic increases pressures for rural hospitals struggling pre-COVID-19
HFMA's Chad Mulvany says weakened rural providers will likely seek to align more closely or be acquired by a larger healthcare system or merge with one another to gain economies of scale.
Commercial health plans’ value-pay response to pandemic mixed, say providers
Commercial health plans have offered providers in value-based payments some pandemic-related flexibilities but rejected some changes.
Cleveland Clinic strikes deal to provide virtual second opinions to Aetna members
HFMA's Chad Mulvany says center of excellence models, similar to those the Cleveland Clinic partners with, select employers that have proven ability to reduce the total cost of care and improve outcomes.
Looking beyond CMS: How to accelerate the transition to value in healthcare
HFMA's Chad Mulvany summarizes a blog on actions CMS and Congress can take to transition providers to capitated and other risk-bearing payment models.
Employers pivot from value-based payment to virtual care amid the pandemic
Employer-sponsored health plans are pausing value-pay expansions in favor of adding virtual care options in response to the COVID-19 pandemic, according to a business group survey..
Rural payment pilots could pave the way to revamped hospital business models
A new rural payment model will test capitated and ACO payments and could encourage major changes in hospital business models.
How to manage risk-based payment in the era of the global pandemic
To succeed with risk-based contracts through the COVID-19 pandemic and beyond, healthcare organizations require analytic capabilities for modeling the revenue impact of the crisis through all its phases.