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Value-Based Care News

Payers Slow to Adopt Value-Based Care Payment Arrangements

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A new survey from the healthcare alliance Premier found that healthcare payers are not transitioning to value-based care payment arrangements as quickly as medical providers would like, according to a company press release. With the Centers for...

Private Payers Follow CMS Lead, Adopt Value-Based Care Payment

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Commercial payers are following the lead of the Centers for Medicare & Medicaid Services (CMS) when it comes to adopting value-based care payment protocols. More private payers have implemented various value-based CMS programs such as accountable...

Latest CMS Bundled Payment Strategies May Need Revision

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The Health Care Incentives Improvement Institute has found problems with some of the latest bundled payment strategies coming from the Centers for Medicare & Medicaid Services (CMS) including flaws surrounding clinic-centric control of the...

How Payers Could Meet Employer Needs in Bundled Payment Models

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While the number of bundled payment models adopted by hospitals and payers is growing, implementation of value-based care is an innovative and modern idea that many healthcare providers are still unfamiliar with. For instance, bundled payments...

3 Key Steps for Payers to Succeed in Value-Based Care Payment

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Commercial health insurance companies have little reason to remain attached to fee-for-service payment systems since the rate of healthcare costs continues growing and the healthcare industry as a whole is moving toward value-based care reimbursement....

58% of Payers, Providers Adapt Value-Based Care Reimbursement

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Several surveys from 2016 show that more healthcare providers and payers than ever before are implementing value-based care reimbursement contracts and moving away from traditional fee-for-service payment models. This past June, ORC International...

How Maternity Care Home Model Reduces Premature Birth Rate

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The healthcare industry has often found it problematic and costly to manage the health of newborns and mothers of preterm births. There have been social problems among pregnant women that have led to higher rates of preterm births such...

New England, Great Lakes Perform Best at HEDIS Quality Measures

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More than 90 percent of commercial health insurance companies throughout the country adhere to HEDIS quality measures in order to show consumers and surveillance agencies their overall performance with regard to prevention, treatment, and patient...

Is Primary Care the Solution to Value-Based Care Challenges?

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Transitioning to value-based care reimbursement and managing accountable care organizations (ACOs) comes fraught with specific challenges. Both reports from healthcare organizations and interviews with experts who’ve implemented ACOs tend...

CMS Bundled Payment Models Cut $864 for Orthopedic Care Episode

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Yesterday, the Centers for Medicare & Medicaid Services (CMS) released a report encompassing the second annual evaluation of the Bundled Payments for Care Improvement initiative, according to The CMS Blog. This summer, a new proposal was...

How Accountable Care Organizations Meet Quality Benchmarks

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Accountable care organizations (ACOs) are relatively new patient care models that can operate with either public or private health payers. Initially, the Centers for Medicare & Medicaid Services (CMS) created the first accountable care organizations...

Healthcare Bundled Payments Hinder Skilled Nursing Facilities

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How are skilled nursing facilities and other post-acute care centers handling the transition to a value-based care reimbursement environment? Fitch Ratings stated in a press release that many post-acute care providers are finding it difficult...

How Medical Consortium Handles Value-Based Care Reimbursement

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Healthcare organizations around the country have been revamping their strategies to keep revenue stable in the midst of changing healthcare payment models. Reforms have been aimed at helping providers adopt value-based care reimbursement. With...

CMS Accountable Health Communities Model Stresses Social Needs

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This past January, the Centers for Medicare & Medicaid Services (CMS) announced a new funding opportunity for a program called the Accountable Health Communities (AHC) Model, which focuses solely on the social needs of Medicare and Medicaid...

Primary Care, Coordination Drive Accountable Care Organizations

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Within the new value-based care payment strategies being developed among healthcare providers, payers, and government agencies, accountable care organizations (ACOs) continue playing an important role in bringing greater quality improvements...

Medicare Shared Savings Program Saved $466 Million in 2015

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The Centers for Medicare and Medicaid Services (CMS) announced last week the quality and financial results of the 2015 Medicare accountable care organizations. According to a press release from CMS, accountable care organizations operating under...

3 Strategies to Follow in Value-Based Care Reimbursement

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In order to have an effective value-based care reimbursement strategy, healthcare payers and providers will need to implement a number of steps in their pursuit of rewarding quality of care instead of quantity as seen in fee-for-service payment...

Empire BlueCross BlueShield Rewards Strong Care Coordination

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Healthcare payers are often looking for ways to improve care coordination in an effort to enhance patient outcomes and reduce medical spending. Empire BlueCross BlueShield is one healthcare payer that has implemented care coordination measures...

Two Contrasting Opinions on Accountable Care Organizations

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The Patient Protection and Affordable Care Act isn’t merely responsible for creating health insurance exchanges, eliminating pre-existing conditions or even expanding the Medicaid program. The Affordable Care Act also helped build the Medicare...

UnitedHealth’s Value-Based Care Reimbursement Improves Outcomes

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Value-based care reimbursement has been hitting both payers and providers as a surefire way to promote payment reform and reduce medical spending. The new models of payment are coming straight from public payers including the Centers for Medicare...

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