Humana partners with private equity firm to expand its primary care capabilities
Humana employing primary care physicians will help improve financial results for its plans by increasing HCC and Stars scores (increased revenue) and reduce medical expenses by improving care management and using claims data to make referrals to lower-cost providers.
More physicians shift from MIPS to APMs in Medicare
Increasing numbers of physicians paid by Medicare are shifting from the default quality-reporting-based payment option to earning bonus payments by participating in other payment models.
Physician pay increased but productivity remained stagnant in 2018
Medical specialties saw an increase of 1.9% in median wRVU production over last year’s survey.
Hospital industry sheds jobs for the first time in 20 months
Hospitals reduced positions in July, marking the first employment drop since 2017.
Analysis: CBO says surprise-bill legislation reduces the deficit
The possible impact on physician payment rates from the Senate Help Committee’s legislation related to surprise bills has garnered strong support for an arbitration provision from the healthcare industry.
4 steps to improving physician productivity
Successful physician productivity initiatives include strong leadership, analytics, and aligned incentives.
Some hospital-employed physicians will qualify for new primary care models
Certain physicians employed by hospitals and health systems will be allowed to participate in new Medicare primary care models that aim to enroll one-quarter of primary care providers.
Engaging Physicians in Value-Based Compensation Models
The University of Maryland St. Joseph Medical Center model layers a 50/50 share of any incentive payments on top of a work RVU-based component to account for revenue that is still generated by the number of patients that providers see.
Healthcare Executives with Unique Skills Are Leading Total Rewards Trends
The market will remain highly competitive for executives and physicians with the leadership skills needed to navigate change, ensure strategic success, and facilitate innovation. To attract these leaders, organizations must be flexible when setting compensation levels.
Confronting the Physician Shortage Head-On: A Health Plan Takes Action
John Baackes, CEO of L.A. Care Health Plan, describes a long-term initiative to ensure a strong physician pipeline is available to serve the healthcare safety net in the market.