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.
For much of his career, Dr. Donald Berwick has challenged executives and clinicians to address the industry's shortcomings. Now, the former head of the CMS is asking physicians to become more active in addressing social and public policy issues that impact patients.
CMS' risk-adjustment changes under the Next Generation ACO Model sparked concerns from some ACOs that they couldn't make money under the program.
A bipartisan group of House lawmakers are banding together to create the Healthcare Innovation Caucus, promising legislation to support the move to value-based care.
Geisinger, with support from devicemaker Medacta International, will provide unlimited free follow-up care to its plan members who undergo hip replacement surgery by one of its providers. The two will proportionally share the costs of follow-up care.
Govs. John Kasich and John Hickenlooper returned to Washington to advocate for a bipartisan approach to lowering healthcare costs.
But physicians still aren't flocking to a CMS program aimed at coordinating care for Medicare beneficiaries with chronic conditions.
In the old days, healthcare organizations prioritized owning facilities, maximizing volume, optimizing revenue and controlling production in-house. There was little regard for total costs, outcomes or patient experience. Meanwhile, an asset-light revolution was underway in other industries.
Only one-third of hospital leaders surveyed said their facility was highly capable of interoperability even though 98% said it was an important asset in the move to value-based payment in the next three years.
The American Hospital Association urged the agency to provide more details on its newest voluntary bundled-payment model and to delay the deadline to apply so hospital leaders have more time to consider participating.
Bill Considine doesn't mince words when it comes to the political brinkmanship over the Children's Health Insurance Program that threatened health coverage for children across the U.S.