Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Value-Based Care News

Why Value-based Care Needs Clinical Decision Support Tools

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Ever since new legislation such as the Affordable Care Act or the Health Information Technology for Economic and Clinical Health (HITECH) Act were passed, the healthcare industry has been reforming and moving toward value-based care. There are...

Challenges, Advantages of Merit-Based Incentive Payment System

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The Merit-Based Incentive Payment System (MIPS) is a new reimbursement program used by the Centers for Medicare & Medicaid Services (CMS) that has its own unique set of challenges and advantages for provider payment. Earlier this year, the...

Top 3 Ways to Meet HEDIS Quality Measures, Improve Performance

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The entire healthcare industry benefits greatly from the quality measurement programs including the Healthcare Effectiveness Data and Information Set (HEDIS) tools developed by the National Committee for Quality Assurance (NCQA). The HEDIS quality...

How Consumer Engagement Brings Better Coverage Decision-Making

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Consumer engagement and awareness is key when payers aim to raise their enrollment rates before the enrollment period rolls around. First, it is vital to improve the health literacy of the everyday consumer so that these individuals understand...

Why Population Health Data is Integral for Value-based Care

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The study of population health data could be relevant for both payers and providers, as it could affect reimbursement for healthcare services. As hospitals and clinics continue to promote wellness programs, improve patient safety, and reduce...

How to Create a Useful Contract for Bundled Payment System

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In 2013, the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced that 450 medical providers will take part in a Bundled Payments for Care Improvement initiative. However, more recent results show that healthcare providers...

The Role ACOs Play in Propelling Population Health Management

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Patient and family engagement, care coordination, data analytics, and population health management are all major goals when designing and adopting an Accountable Care Organization. The Commonwealth Fund outlines three different cases of developing...

Top 3 Ways to Reduce Healthcare Spending Across Industry

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What new innovations and healthcare reforms are making a real benefit to cutting unnecessary healthcare spending associated with duplicative tests, hospital-acquired infections, and medical errors? While there are a wide number of transformations...

Maryland’s All-Payer Model Shows Promising First Year Results

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Last week, the Department of Health and Human Services (HHS) announced the state of Maryland’s first year results from its All-Payer Model. Maryland has implemented a global budget payment system in which insurers are required to pay hospitals...

Accountable Care May Bring Savings in Healthcare Costs

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Healthcare reforms have been on the rise due to new federal regulations including the stipulations of the Patient Protection and Affordable Care Act as well as the Health Information Technology for Economic and Clinical Health (HITECH) Act....

How the Bundled Payment System Supports Coordinated Care

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The bundled payment system offers a method for reducing skyrocketing costs throughout the healthcare delivery continuum by moving away from fee-for-service reimbursement. In particular, the bundled payment system covers all of the costs associated...

Medicare Shared Savings Program Seeks High ACO Performance

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As part of the Patient Protection and Affordable Care Act, goals of improving the quality of healthcare services and reducing costs led to the creation of Accountable Care Organizations (ACOs) and the Medicare Shared Savings Program. Both quality...

How MACRA Affects Future of Healthcare Payment Models

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Earlier this year, the federal government repealed the Medicare Sustainable Growth Rate (SGR) Formula, which affected the future of healthcare payment models all across the board. Recently, the Centers for Medicare & Medicaid Services (CMS)...

The Monetary Outcomes of the Accountable Care Organization

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Now that the Affordable Care Act has been in place for five years, there is more evidence showing its overall impact on the healthcare industry. For instance, medical experts, stakeholders, and the patient community have a better understanding...

Accountable Care Organizations, Technology Cut Medical Costs

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The healthcare system has a multitude of gaps that cause spending to continue rising without an effective method to reign in these high costs. For example, a major problem has been ongoing redundant tests and unnecessary, expensive procedures...

Are Bundled Payment Systems Suitable at Cutting Medicare Costs?

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The bundled payment systems were initially developed in order to curb the rising costs of healthcare including Medicare spending. Providers and hospitals receive a single sum for providing a summary of services to treat one particular medical...

ACO Model Boosts Care Coordination for Kidney Failure Patients

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The healthcare industry is determined to strengthen patient care and improve quality through better care coordination among medical teams and across hospitals, rehabilitation centers, and clinics. Care coordination has been the name of the game...

Will New Model of Accountable Care Organizations Cut Costs?

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There are a variety of policy changes and healthcare reforms that have taken place since the Patient Protection and Affordable Care Act was passed in 2010. The development of Accountable Care Organizations (ACOs) is one such reform. With the...

Do Bundled Payment Models Pose Complications for Surgery?

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Due to ongoing reforms in the healthcare industry, both federal government agencies as well as insurance companies are looking to renovate healthcare payment methods. Value-based care instead of fee-for-service is one example of the innovative...

Accountable Care Organizations Cut Costs by $411 Million

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The medical industry has been focused on improving coordinated care across the spectrum of healthcare delivery. With ongoing healthcare reforms taking place around the country and the federal government taking a stronger role in improving patient...

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