As Medicare funds dry out, the OMB believes simplifying value-based pay models and reducing spending on care delivery could be crucial to shoring up the program.
Heritage Provider Network founder and CEO Dr. Richard Merkin says his goal is to continually push the envelope and try things that haven't been done before.
Virginia Mason Chairman and CEO Dr. Gary Kaplan says health systems can't sit around waiting for the payment model to change; they need to act now to drive more efficient, higher-value care.
New analyses of the major payment reforms begun during the Obama years suggest they do in fact lower healthcare spending. While the savings are small, they provide a strong argument for HHS Secretary Alex Azar to step up the pace of value-based reimbursement reform.
The Comprehensive Care for Joint Replacement model led to a drop in spending on seniors in need of joint replacements in just eight months. The speed of results surprised federal researchers as it usually takes much longer for models to show value.
A new primary-care pay model shows promise, but needs more work before it's widely tested, according to the Physician-Focused Payment Model Technical Advisory Committee.
The 472 Medicare ACOs generated a total of $1.1 billion in savings in 2017, allowing the CMS to make a $313.7 million gain from the program after dishing out bonuses. The savings come as the CMS looks to overhaul the program.
A Navigant study found 24% of academic medical centers received penalties for their performance on three of the CMS' value-based payment programs in fiscal 2018 while 13.7% of community hospitals received penalties.
CEO Tom Jackiewicz explains why Keck Medicine of USC has embraced bundled payments and how the team approach to care works best for patients and providers.
Kevin Fleming, Providence St. Joseph Health's vice president of orthopedics and sports medicine, talks about the organization's approach to managing physician preference items and savings earned through bundled payments.
During a congressional hearing, leaders from key medical societies accused the CMS of attempting to undermine Congress' work to help doctors move to value-based care as part of MACRA.
The major healthcare innovation story is occurring across the country in cities and small towns, where local hospitals and health systems are now centers of transformational change.