Last week, the American Medical Association (AMA) adopted a new policy that supports initiatives moving toward value-based drug payments. The health care industry is in the midst of a shift to value-based payments and away from pay-for-service models. This push toward low-cost, high-quality health care is driven in part by the rising cost of many… Read More
ROI Models + Funding
A recent report from the Health Care Payment Learning & Action Network found that nearly 25% of payments made by health insurers so far in 2016 were made through value-based alternative payment models (APM). The health care industry is undergoing a shift toward value-based reimbursements and away from traditional fee-for-service models. This is driven, in… Read More
The National Institutes of Health is investing $5.5 million in four new groups of health care providers, including Geisinger Health System and the Trans-American Consortium for the Health Care Systems Research Network, to advance the Precision Medicine Initiative (PMI) Cohort Program. Healthcare IT News writes: The PMI Cohort Program is a longitudinal research effort to… Read More
Lisa Suennen opines that—due to the recent announcement from CMS that in addition to hip and knee replacement procedures many cardiovascular procedures must soon also move to bundled payments—the health care industry experienced a watershed in the shift toward the value-based payment model.
A new study appearing in American Journal of Managed Care examines how alternative payment models can be applied to emergency care, an area for which it can be difficult to obtain a clear picture of care costs.
The recent expansion of the CMS bundled payment program will have multiple effects—improved accounting and stronger care coordination.
West Virginia state delegate Dr. Matthew Rohrbach suggests states employ preventive medicine health programs in order to keep rising healthcare costs at bay.
The new Oncology Care Model from CMS officially started last month, with its aim to standardize care and move from fee-from-service payment systems to value-based ones. According to Health and Human Services Secretary Sylvia M. Burwell, the new model enables greater collaboration and information-sharing, so patients get only the care they need at just when they need it:… Read More
Providers across the country have begun to utilize the automated appointment reminder systems to address other problems such as increasing utilization of preventive care services, scheduling follow up care, delivering test results, and improving collections on past due accounts.
The Centers for Medicare & Medicaid Services have announced a final rule to encourage more ACOs participate in the Medicare Shared Savings Program by streamlining payments and offering additional terms of participation to providers.