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. Whether these gains can be sustained, however, is far from certain. And because many providers are still sitting...
The fee-for-service payment model for healthcare treatment may be withering, but there's little hard evidence that alternative payment models such as accountable care organizations will provide better care at a cheaper cost, experts agreed in a forum convened by the Federal Trade Commission.
Universal American, a Medicare managed-care and accountable care operator, ended last year with smaller losses on its overall business and its accountable care organizations than those of the prior year.
We were pleased to see the article “Quality-of-care standards missing for homebound seniors”, on the continued evolution of quality-of-care measurement for house calls to the frail, elderly home-limited patients.
Some of the nation's most prominent healthcare groups are telling the Obama administration that its proposals to soften the financial risk involved in Medicare accountable care contracts won't be enough to make sure U.S. hospitals and doctors keep signing up.
Even as value-based contracting proliferates, the financial incentives for hospitals and medical groups to eliminate waste and improve care have barely changed.
The dictionary defines vaporware as a product that has been widely advertised but has not and may never become available. Last week's twin announcements on the imminent move to widespread value-based reimbursement in healthcare bring the concept to mind.
U.S. healthcare providers and insurers start from widely divergent places as some of the largest move to put most of their business into payment models that reward lower cost and higher quality care.
Several of the nation's largest health systems and insurers are joining together in a new task force with the goal of shifting 75% of their business to contracts with incentives for quality and lower-cost healthcare.
By 2018, half of Medicare spending outside of managed care will be tied to incentives to manage quality and costs, federal officials said Monday. That was greeted with enthusiasm but also with warnings that the effort will be wasted if the new models are too weak or built on flawed measures.
Insurer Universal American further scaled back its participation in the Medicare Shared Savings Program in the final months of last year, exiting another six accountable care organizations. The publicly traded health insurer remains the largest single participant in the program.
Accountable care organizations across the country are in sharply different stages of aggregating and using patient data to improve quality of care and reduce costs.