Value Based Payment

May 13-17: See what events are coming in healthcare

May 13—Stay ahead of healthcare news and developments with this listing of hearings, conferences, webinars, contests, public forums and deadlines for the week of May 13. Highlights include HFMA webinars and another Centers for Medicare & Medicaid Services (CMS) webcast detailing the recently released Medicare primary care models.  Monday, May 13 Start of submission period…

By Rich Daly May 14, 2019

Will a quarter of primary care physicians join the new Medicare payment models?

The Trump administration envisions the five coming primary care models that were unveiled this week to include one-quarter of such clinicians. But Medicare advisers and others are split on whether many providers can succeed in the models.

By Rich Daly May 9, 2019

Value-Based Contracting Not Taking Off: Health Plan Survey

Health plans see a shift to value-based payment on the horizon, according to a new industry survey. It’s a familiar finding.

By Rich Daly May 8, 2019

Hospitals See Improvement in Value Contracting with Commercial Plans

Hospitals continue to have more difficulty establishing value-based contracts with commercial health plans than with government payers, but that may be changing.

By Rich Daly May 6, 2019

Provider Nimbleness Required for Diverse Value-Based Healthcare Models

Providers must be nimble to adapt to new value-based healthcare strategies.

By Theresa Hush February 26, 2019

Model Targets Hundreds of Millions in Medicare ED Spending

Feb. 18—Heralded as part of a shift in care to lower-cost locations, a new Medicare model coming early next year will incentivize paramedics to find alternative treatment sites to emergency departments (EDs).

By Rich Daly February 19, 2019

Data Sharing Tips for Value-Based Payment Arrangements

Value-based contracts require that provider organizations and health plans share data and information that they may not have shared historically. Details about that data-sharing must be established in contracts.

By Lola Butcher February 6, 2019

Feb 4-8: CMS Developing ESRD, Cancer Models

Jan. 31—Federal changes coming in 2019 to healthcare payment models slowly emerged this week, as federal healthcare leaders prepare to address a national policy meeting in Washington D.C.

By Rich Daly February 1, 2019

Medicare Expands Value Pay in MA and Part D Plans

Jan. 21—Medicare is expanding its value-based insurance design (VBID) model and creating a new drug plan model.

By Rich Daly January 23, 2019

Value-Based Payment Can Reduce Need for Preauthorizations

BlueCross BlueShield of Western New York has removed prior authorization requirements for more than 500 therapies, services, and procedures in conjunction with its move to value-based payments for primary care providers.

By Lola Butcher January 10, 2019
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