Community hospital CEOs are most worried about their organization's finances, particularly uncertainties surrounding Medicaid reimbursement and rising costs, a new survey from the American College of Healthcare Executives found.
Guest Commentary: To get our money's worth in healthcare, we need to collaborate; test-drive this value-measurement tool
Everyone—from patients to payers and health systems—is pouring dollars into a system with little-to-no visibility into the true value of what they are buying.
Less than 2% of the 1.1 million clinicians billing Medicare this year will receive a raise stemming from a pay-for-performance program that rewards doctors for improving patients' quality of care.
About 91% of the ACOs in non-risk bearing tracks in 2016 would have saved an additional $966 million overall if they were in a contract with downside risk, according to an Avalere Health analysis released Thursday.
CMS' new voluntary bundled-payment model appeals to health systems and doctors because of the potential to reap financial bonuses and the flexibility to choose from many clinical episodes, industry stakeholders say.
Of the 561 ACOs in the Medicare shared savings program this year, 101 are in a downside risk-based contract, up from 42 ACOs that were in such contracts in 2017.
The CMS has unveiled a new voluntary bundled-payment model that will be considered an advanced alternative payment model under MACRA.
Q&A with Laura Kaiser: 'Tectonic moves' in the insurance, pharma industries make for interesting times
Laura Kaiser took over as CEO at SSM Health in May 2017 and immediately set her sights on harnessing the strengths of each of the Catholic health system's four major markets.
The CMS has introduced a new system for clinicians to submit performance data for the Quality Payment Program that is intended to reduce administrative burden.
The Trump administration touted efforts to move the healthcare system toward value-based payment, but its focus on lifting red tape led the CMS to rescind rules intended to move the dial on pay-for-performance.
Dr. Jerry Penso believes that group medical practices are ideally positioned to lead the nation in the migration from fee-for-service to a value-based payment and care environment.
AMGA members expect the majority of their Medicare revenue will be risk-based in 2019. That's a 6 percentage point jump from this year.