Advertisement
Under construction: Risk-based reimbursement

Under construction: Risk-based reimbursement

By Dave Barkholz  |  June 18, 2016

The CMS says it's well on its way to dragging hospital systems into the brave new world of risk-based contracting. The systems say, not really.

Commentary: Revenue-cycle missteps in the era of value-based care

Commentary: Revenue-cycle missteps in the era of value-based care

By Jeff Goldsmith  |  June 07, 2016

It is widely understood that healthcare payment is shifting toward value-based care. What is not appreciated is that value-based payment rests on a ramshackle foundation: the unloved, partially automated and often poorly integrated healthcare revenue cycle.

CMS finalizes changes to  ACO cost targets

CMS finalizes changes to ACO cost targets

By Virgil Dickson  |  June 06, 2016

The CMS has finalized changes to the way it evaluates whether Medicare accountable care organizations are saving money, responding to persistent complaints that the program was harder for efficient providers because they had to compete against their own success.

Innovations: Evolent helps with high-risk patients

Innovations: Evolent helps with high-risk patients

By Beth Kutscher  |  May 28, 2016

Evolent's technology and consulting platform can help identify high-risk patients by analyzing data from multiple sources and then create physician-driven care-management plans.

As Phoenix booms, healthcare systems revamp to catch up

As Phoenix booms, healthcare systems revamp to catch up

By Beth Kutscher  |  May 28, 2016

The Phoenix metro area is booming. Once-sleepy neighborhoods are seeing real estate bidding wars. New housing developments are appearing where there once was nothing. Against that backdrop, healthcare in Phoenix is reorganizing as systems compete for patients and the doctors who refer them.

Docs face stark choices under new Medicare pay proposal

Docs face stark choices under new Medicare pay proposal

By Beth Kutscher  |  April 30, 2016

The new draft regulations designed to change how Medicare pays clinicians represent the most sweeping overhaul the CMS has made in a long time to the business of running a physician practice.

'Turnaround was job one. Now we are moving forward'

'Turnaround was job one. Now we are moving forward'

By Modern Healthcare  |  April 09, 2016

Last fall, Karen Ignagni took over as CEO of EmblemHealth—a financially troubled New York insurer with 3.2 million covered lives—after 22 years at the helm of America's Health Insurance Plans. She recently discussed the challenges she faces in her new position.

Advertisement
Modern Healthcare Daily

Award winning coverage of healthcare business and policy news.

The Modern Healthcare app includes a personalized home screen, strong search functionality and immediate downloads from the industry's leading healthcare media brand.