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...
In today’s healthcare climate, payers are working to develop value-based reimbursement contracts with their provider network. Lately, payer and provider contract negotiations are often based...
The Innovation Center belonging to the Centers for Medicare & Medicaid Services (CMS) created the Bundled Payments for Care Improvement (BPCI) program, which consists of setting aside a previously...
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...
As the year is coming to a close and many are getting ready to celebrate the holidays, it is important to look toward the coming year and prepare for healthcare insurance trends expected to impact the...
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...
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...
As healthcare payers and providers look toward adopting value-based care and move away from fee-for-service payment models, the Centers for Medicare & Medicaid Services (CMS) Innovation Center has...
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,...
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...
Healthcare spending accounts for a wide variety of procedures, services, and technologies adopted or offered by medical providers, payers, and patients. In recent years, the healthcare industry has...
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...
Are bundled payments the new future of healthcare? The expansion of bundled payments has been actively present within policy activity over the past three decades of healthcare reform, consistently...
Bundled payment systems are creating a lot of buzz in the healthcare industry as payers move away from fee-for-service payments and toward value-based payments. But what are bundled payments, and what...
