Starting in 2019, insurers in 15 more states will be able to participate in Medicare Advantage's value-based insurance design program. Plans encourage the use of high-value clinical services among chronically ill patients by lowering or eliminating cost-sharing.
Provider groups called on the CMS to create more opportunities for physicians to participate in existing and new alternative payment models to advance the Innovation Center's mission of moving healthcare delivery from volume to value.
Daniel Wolfson, executive vice president and COO of the ABIM Foundation, discusses the importance of evidence-based care and the Choosing Wisely initiative.
About 57% of hospitals will earn Medicare bonuses for 2018 under the Hospital Value-based Purchasing Program, new CMS data show. The results are a slight improvement from 2017.
For the third consecutive year, researchers cannot determine whether a voluntary Medicare bundled-pay initiative actually cut costs and improved care. The results come as the Trump administration seeks to scrap mandatory models in exchange for voluntary ones.
As the healthcare industry continues its movement from a volume-based model (fee-for-service) to value-based payment, hospitals and health systems face major challenges and opportunities in transforming their clinical, financial and operational models to align with new value-based payment policies...
C-suite leaders face challenges including implementing value-based care, establishing population health efforts and creating mutually beneficial partnerships.
As value replaces volume in the healthcare industry, hospitals are looking for partners to become more efficient and nimble under new care delivery models and payment arrangements.
Despite their original reservations, many hospital leaders have embraced Medicare's mandatory bundled-payment program for total joint replacements. New CMS data show nearly half of participating hospitals met their cost and quality targets and received financial rewards in 2016.
The CMS has launched an initiative that it hopes will lead to less provider regulation, allowing doctors to spend more time with patients.
While the future of the Affordable Care Act is still uncertain, a number of initiatives that began under the law have shown the kinds of results that transcend politics and will keep the focus on value over volume.
Although most value-based pay models focus on primary care services, providers and policy experts hope the recent financial success of accountable care organizations targeting dialysis patients will lead to more disease-specific pay models.