A joint replacement surgery can cost as little as $5,000 or as much as $30,000 depending on the hospital due to differences in practice patterns and devices used, according to a new Premier report.
The Medical Group Management Association and five other physician organizations formed a coalition to advocate for policies that support independent doctors transitioning to value-based payment.
Defining high-quality care, measuring it and communicating about it with integrity and transparency is tough. It starts with a culture of caring in which patient interactions are authentic and decisions are made with the patient as part of the team.
The CMS wants to eliminate 19 measures across the agency's five quality and value-based purchasing programs as part of its larger goal to reduce the administrative burden for providers. The agency also aims to eliminate redundancies in 21 measures.
Humana's incentive program will award hospitals annual rate hikes based on how they perform on measures assessing patient safety, experience and outcomes.
The Louisville, Ky.-based insurer joined a small group of private payers bundling childbirth services, citing the potential for savings.
Highmark Health, a Pittsburgh-based Blues plan, has reached a value-based drug-pricing contract with AstraZeneca for Symbicort, which is used to treat asthma and other chronic lung diseases.
New research suggests policymakers need to directly address prices rather than focusing on value-based care.
With healthcare costs skyrocketing and the health of Americans suffering amid a fragmented system, there's a critical need to shift to a patient-centered healthcare system focused on outcomes and the value patients receive for their healthcare dollar.
Q&A with Presbyterian Healthcare Services CEO Dale Maxwell: 'We've answered many of the questions other systems are just beginning to ask'
Dale Maxwell, CEO of Presbyterian Healthcare Services, says that the integrated health system has found success in care models that keep patients out of the hospital.
Risk-averse accountable care organizations are the largest reason why the federal government hasn't yet been able to profit from the program, and they have cost the CMS $384 million in three years, according to a new report.
CMS' risk-adjustment changes under the Next Generation ACO Model sparked concerns from some ACOs that they couldn't make money under the program.