Value Based Payment

A tailored approach to value-based care product development

To be successful, a value-based-payment initiative must be tailored to the provider organization's market and capabilities.

By Richard Weil, PhD January 2, 2020

‘We were completely wrong’: How Henry Ford Health System won a major direct contract

How one health system won a large direct contract as such arrangements become more widespread.

By Rich Daly December 16, 2019

Dec. 16-20: CMS comment deadlines are among upcoming healthcare finance developments

A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of Dec. 16.

By Rich Daly December 12, 2019

Analysis: ChenMed moves into new territory

ChenMed’s entrance into new markets will likely have an impact on ambulatory-sensitive ED visits and admissions for underserved Medicare Advantage patients.

By Chad Mulvany, FHFMA December 11, 2019

Analysis: More options for providers looking to directly contract with employers for episodes of care

Platforms like Carrum Health’s are meeting the demands of employers for higher-value care and the providers who want to meet these demands.

By Chad Mulvany, FHFMA December 10, 2019

OPPS final rule keeps site-neutral payments and 340B cuts, leaves out transparency requirement

The Medicare OPPS final rule will continue 340B and site-neutral payment cuts but leaves out the requirement to post rates negotiated with health plans.

By Rich Daly December 6, 2019

Dec. 9-13: Hearing on proposals to expand government insurance coverage is among upcoming healthcare finance events

A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of Dec. 9.

By Rich Daly December 6, 2019

Upside-only pay surges as risk-based pay, clinical results remain flat, scorecard finds

Bonus-based value payment models have proliferated among employer health plans, while risk-based payment and performance on clinical quality indicators have not changed significantly, according to a recently published scorecard.

By Rich Daly December 5, 2019

Medicare reopens deadline for providers to signal interest in direct contracting

Primary care physicians will have another chance to apply and participate in the delayed Direct Contracting model with Medicare.

By Rich Daly December 4, 2019

Retailers partnering with healthcare companies to expand access

A review of newly announced partnerships between Walgreens and United Healthcare and Kroger and Ascension.

By Chad Mulvany, FHFMA December 3, 2019
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