Advertisement
Q&A: Insurers don't want to share savings from reduced utilization

Q&A: Insurers don't want to share savings from reduced utilization

By Modern Healthcare  |  March 28, 2015

Modern Healthcare recently spoke with Dan Wolterman, president and CEO of Houston-based Memorial Hermann Healthcare System, about accountable care, tensions with insurers over starting a health insurance arm, and Memorial Hermann's shift to outpatient care.

Two ways to make ACOs work better

By Dr. Elliott Fisher, Judd Gregg and Dr. James Weinstein  |  March 28, 2015

New payment models adopted by Medicare and many health plans have clearly led to better care for patients. They also might be helping to slow the overall growth of healthcare spending.

Hopes run high for passing doc fix when Senate returns in April

By Paul Demko  |  March 28, 2015

The fix isn't in yet, but it's close. The Senate adjourned for its spring break Friday without taking action on legislation permanently repealing and replacing Medicare's sustainable growth-rate physician-payment formula.

Will new Medicare ACO model enable providers to truly manage care?

By Bob Herman and Melanie Evans  |  March 14, 2015

Medicare's new “Next Generation” accountable care organization program has raised hopes among many healthcare providers that the Obama administration is listening to them as it pushes ahead toward value-based payment models.

Practice Makes Perfect: Turn risk into opportunity under new reimbursement models

Practice Makes Perfect: Turn risk into opportunity under new reimbursement models

By Dea Robinson  |  March 13, 2015

Alternative payment models come in different forms, such as bundled payments or ACOs. Physician practices and other organizations preparing for new reimbursement models should consider their patient population and their ability to take on risk, and experiment with their current payer mix.

Medicare accountable care a 'learning effort': Burwell

By Melanie Evans  |  March 12, 2015

New York's Montefiore Medical Center, the most financially successful of Medicare's most sophisticated accountable care organizations, may bypass what HHS officials are calling the next generation of the evolving payment model.

Mass. Blues has an offer doctors might refuse

By Melanie Evans  |  March 12, 2015

Blue Cross and Blue Shield of Massachusetts wants to expand its use of global budgets outside of managed care. But the plan's success will depend on how many doctors are willing to accept the risk.

SSM Health to join Wisconsin ACO

By Adam Rubenfire  |  March 12, 2015

Catholic not-for-profit SSM Health Care, St. Louis, will join the Integrated Health Network of Wisconsin, allowing the accountable care organization to expand into south-central Wisconsin.

Advertisement
Modern Healthcare Daily

The top stories in healthcare business every day

The Modern Healthcare Daily News App provides you with registration-free access to the top trending healthcare business news. It's the only news you need each day.