Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Value-Based Care News

Why Bundled Payment Programs Could Benefit Mammography Services

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Bundled payment programs have been used in a wide variety of medical treatments and diagnostics such as joint replacement therapy and, more recently, cardiac care. The Centers for Medicare & Medicaid Services (CMS) has established these bundled...

HHS Positions Bundled Payment Models Toward Cardiac Care

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On July 25, the Department of Health & Human Services (HHS) announced further investment in bundled payment models within the healthcare industry. According to a news release from the Centers for Medicare & Medicaid Services (CMS), the...

Affordable Care Act, Accountable Care Display Success

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With fairly large sects of the political spectrum opposing various provisions of the Patient Protection and Affordable Care Act as many as six years after its passage, it grows vital to examine whether or not this landmark healthcare legislation...

How to Educate Employers on Value-Based Care Reimbursement

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Value-based care reimbursement is becoming a mainstay of the healthcare industry as hospitals, physician practices, and health insurance companies continue to incorporate alternative payment models. Many payers and providers have pursued bundled...

Successful Accountable Care Organizations Use 3 Key Strategies

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Health payers and providers who are seeking to form accountable care organizations will need to follow key steps in order to avoid the issues associated with these payment models and truly succeed in an accountable care environment. Below we...

Key Strategies for Transitioning to Value-Based Care Payments

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With value-based care payments impacting both payers and providers around the country as the healthcare industry transitions toward a new climate based on quality of care, preventive services, and better patient outcomes, health insurers must...

Best Practices to Drive HEDIS Success in 2017

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Achieving success requires plans to adhere to annual changes from the National Committee for Quality Assurance (NCQA) related to HEDIS measurement, reporting requirements, and timelines. In addition, health plans can better position themselves...

Why Payers Should Educate Providers on Value-Based Care

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Both private payers and public payers like the Centers for Medicare & Medicaid Services (CMS) have a long road ahead of them in supporting healthcare providers and consumers with the transition to value-based care reimbursement. For example,...

Why Bundled Payments are Essential for Payers to Adopt

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While the Centers for Medicare & Medicaid Services (CMS) was first to implement bundled payments in one of its many programs meant to renovate provider reimbursement processes, private health payers would also benefit from pursuing bundled...

3 Key Strategies for a Successful Payer-Provider Relationship

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What are the key ingredients that health insurance companies need to integrate in order to have a successful payer-provider relationship? There are a number of steps that payers and providers will need to follow in order to improve their working...

How Accountable Care Organizations Use Preventive Services

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What accomplishments have accountable care organizations (ACOs), providers, and payers reached in their effort to operate value-based reimbursement systems? This is the question that many ACOs are answering today. With value-based care reimbursement...

Affordability, Cost Transparency Key for Patient Satisfaction

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The biggest healthcare reforms impacting health payers today include the movement toward consumer engagement and patient satisfaction. Patient advocacy groups are bringing more attention toward keeping the patient voice at the center of healthcare...

Should CMS Incorporate More Bundled Payment Programs?

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Last month, the Center for American Progress (CAP) issued a statement urging the Department of Health & Human Services (HHS) to expand their work in bundled payment programs so that medical costs would decrease and even greater focus can...

Accountable Care Organizations Rely on Population Health Data

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Accountable care organizations (ACOs) are slowly becoming a mainstay of the healthcare industry, as more payers and providers are partnering through these care coordination programs and negotiating value-based reimbursement contracts. However,...

Population Health Vital for Medicare ACO Models to Succeed

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Accountable care organizations (ACOs) have taken on a larger role in delivering services throughout the continuum of care. Initially, these establishments were created under the Medicare Shared Savings Program but have slowly moved toward contracting...

How Quality Metrics Affect Value-Based Care Reimbursement

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In today’s changing healthcare landscape, public and private health payers are attempting to investigate new payment models in order to reduce the continually rising medical spending. Whether it’s bundled payments or accountable care...

How to Strengthen Accountable Care Organizations, MSSP

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Accountable care organizations (ACOs) continue to gain greater acknowledgement within the healthcare industry as the field transitions to value-based care reimbursement and moves away from the fee-for-service payment model. It began with the...

The Role Risk Plays in Value-Based Care Reimbursement Models

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The expansion of value-based care reimbursement is making headway across US hospitals and clinics. To better prepare for the transition to value-based care reimbursement, IDC Health Insights, a healthcare IT consulting company, offers advice...

Value-Based Care Payments May Reach 60% in Next Five Years

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Value-based care payments are quickly becoming a mainstay in today’s health insurance industry with more payers jumping on the bandwagon of bundles, alternative payment models, and accountable care organizations. A report commissioned by...

New Ruling in Medicare Shared Savings Program Changes Payment

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As previously reported, the Centers for Medicare & Medicaid Services (CMS) have finalized a ruling that changes how the Medicare Shared Savings Program operates its payment protocols among accountable care organizations. The change impacts...

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