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Hospitals warm up to CMS bundled payments as agency cools off on them

Hospitals warm up to CMS bundled payments as agency cools off on them

By Harris Meyer  |  October 26, 2017

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.

Guest Commentary: Continue the pursuit of value in healthcare

Guest Commentary: Continue the pursuit of value in healthcare

By Mike Boswood  |  October 24, 2017

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.

ACOs for specialty providers could be key to Medicare savings

ACOs for specialty providers could be key to Medicare savings

By Virgil Dickson  |  October 18, 2017

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.

Q&A with Humana's CMO Dr. Roy Beveridge on community health and how to improve it

Q&A with Humana's CMO Dr. Roy Beveridge on community health and how to improve it

By Modern Healthcare  |  September 30, 2017

Humana set a goal of having 75% of its individual Medicare Advantage members covered under value-based relationships by 2017. The company now has 1.8 million lives, or 85% of its MA population, in value-based care. As a result, the insurance giant has seen costs decrease by 19%.

CMS seeking answers on spreading the word about MACRA

By Virgil Dickson  |  September 13, 2017

The CMS said more work needs to be done to get the word out among providers about MACRA since there are still awareness gaps around the requirements of the law nine months into its rollout.

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