The health insurance industry could benefit from greater cost transparency, as it could bring new methods for lowering healthcare spending and create a more competitive market among providers. Federal...
Since the Affordable Care Act was passed and the Center for Medicare & Medicaid Service Innovation established the Medicare Shared Savings Program, the development of accountable care organizations...
Effective population health management remains a key aspect of running a successful accountable care network. As part of a stronger population health management program, the primary care...
Healthcare spending for the average insured consumer does not seem to be decreasing or even stabilizing, finds a report from the Health Care Cost Institute (HCCI). In fact, healthcare spending among...
The Department of Health and Human Services (HHS) has given the healthcare industry three years to transition toward alternative payment models. HHS Secretary Sylvia Burwell announced last year that,...
In healthcare, as in so many other areas of life, patience is a virtue. Providers and payers pursuing ACO development will need to have plenty of it before their care transformation efforts pay off with significant cost savings.
As...
As the health payer industry and the Centers for Medicare & Medicaid Services (CMS) continues to invest in value-based care reimbursement and tie payment to quality performance measurement, the...
Healthcare payers seeking to reduce costs of medical services would benefit from partnering with accountable care organizations, which essentially seek high quality care in value-based payment...
Last week, the Centers for Medicare & Medicaid Services (CMS) announced a new proposed rule that would revise the formula used to analyze the performance of accountable care organizations...
Health information technology continues to be an elusive field for the payer industry, as some insurers still have difficulty with adhering to key technological advancements and data security...
The world of accountable care continues to draw interest from healthcare providers and payers alike. Last month, the Centers for Medicare & Medicaid Services (CMS) announced the introduction...
Earlier this week, the Centers for Medicare & Medicaid Services (CMS) established a final rule that alters the Medicaid home health services definition to include additional requirements for home...
Healthcare providers and payers working together to develop an effective accountable care organization (ACO) and a strong contract will need to consider the importance of including specialty care, an...
Recently, the Centers for Medicare & Medicaid Services (CMS) announced that there will be 121 new accountable care organizations participating in the Medicare Shared Savings Program and the Next...
On Monday, the Centers for Medicare & Medicaid Services (CMS) revealed that there will be 121 new accountable care organizations joining the ranks of Medicare ACOs and the Shared Savings...
Accountable Care Organizations (ACOs) were established in order to strengthen care coordination among a multitude of medical facilities, improve population health management, and stabilize rising...
While the Medicare Shared Savings Program and the Pioneer Accountable Care Organizations (ACOs) are relatively new programs for the Centers for Medicare & Medicaid Services (CMS), various results...
When a large establishment wants to bring more care coordination and greater organization among multiple medical facilities including primary care offices, hospitals, and specialty entities, there are...
Medicare and Medicaid beneficiaries along with consumers of plans via state health insurance exchanges gained an advantage last week when the Centers for Medicare & Medicaid Services (CMS)...
Despite the fact that Accountable Care Organizations (ACOs) and the Medicare Shared Savings Program was supposed to put a dent in the rising healthcare costs around the country, the latest results show...
