Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Value-Based Care News

Physician Leadership Key to Accountable Care Organizations

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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 of 121 new accountable care organizations to...

CMS Includes Rich History of Healthcare Bundled Payments

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Recent news shows that the Centers for Medicare & Medicaid Services (CMS) have made real strides in spreading the use of healthcare bundled payments. Not long ago, CMS announced its final rule for the Comprehensive Care for Joint Replacement...

How ACO Providers Could Integrate Specialty Care with PCPs

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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 article from the Health Affairs publication...

CMS Published Final Rule for Surgical Bundled Payment Model

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On January 15, 2016, the final rule for the Comprehensive Care for Joint Replacement model took effect, which is a new reimbursement program for orthopedic surgeries developed by the Centers for Medicare & Medicaid Services (CMS). High costs...

Accountable Care Organizations’ Rise in Quality a ‘Home Run’

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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 Generation ACO Model. This means that the ACO...

CMS Announced 121 New Accountable Care Organizations

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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 Program. A press release from the Department of Health...

Top Challenges of Alternative Payment Models, Bundled Payments

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The Center for American Progress released a report last Spring that tracks the progress and success of alternative payment models within the Medicare program. The report outlines that a one-size-fits-all strategy is not the right one to take...

Population Health, Risk-sharing Vital for Accountable Care

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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 healthcare costs. Through the Medicare Shared...

Why are Bundled Payment Systems Difficult to Adopt?

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While bundled payment systems have been advocated as a means to reduce the costs of medical care by the Centers for Medicare & Medicaid Services (CMS), many health insurers and providers are still stuck on fee-for-service payment models....

Small Steps for Accountable Care Organizations to Boost Quality

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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 show that these models of care have not brought...

Top 4 Factors Necessary for Bundled Payment Model Contract

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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 around alternative payment methods such as the...

How to Design and Support an Accountable Care Organization

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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 specific steps to take and certain aspects...

75% of Providers Drop Out of CMS Bundled Payments Model

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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 agreed-upon set of funds for several healthcare...

Why Health IT is Critical for an Accountable Care Organization

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In order to provide medical services under an Accountable Care Organization (ACO), a network of medical practices, specialty healthcare offices, and hospitals must contract with a health payer such as Medicare, Medicaid, commercial health plans,...

Blue Shield, Accountable Care Organization Saved $325 Million

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In recent years, there has been plenty of concern about whether or not Accountable Care Organizations (ACOs) bring significant cost savings to the healthcare industry. However, one health payer and ACO have proven that it is possible to make...

Value-based Payment Models Pose Challenge to Physicians

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In HealthEdge’s State of the Payer Industry Survey, more than 80 percent of polled health payers are planning to support value-based payment models over the next three years. Additionally, nearly 77 percent of health plans are looking to...

Altering Accountable Care Organizations May Bring More Success

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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 that both in 2013 and 2014, only about 25...

HIT Boosts Population Health Data Analysis, Patient Outcomes

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When healthcare providers join together to form an Accountable Care Organization, a major goal of theirs is to improve the health of their given population. But what are some key areas where ACOs and payers could analyze population health data...

Population Health Management Achieved through Accountable Care

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Population health management is a complex area within the healthcare industry that has received a much bigger spotlight in recent years. In particular, after the Patient Protection and Affordable Care Act became law, Accountable Care Organizations...

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...

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