Unlike healthcare thought leaders and policy wonks, only a scant few practicing physicians are committed to population health management, value-based care and the “triple aim.”
Healthcare industry leaders are pushing back against the Medicare Payment Advisory Commission's criticism of accountable care organizations. The panel is considering making changes that would force providers to take on more risk.
How the use of evidence-based guidelines, duration tables and analytics drive value-based success for providers, employers, patients and payers.
Vermont has received tentative approval from the Obama administration to establish an all-payer reimbursement system for healthcare providers in the state starting in January.
Eleven prominent healthcare executives call on all industry stakeholders to join the work of the Accountable Care Learning Collaborative to accelerate the shift from volume to value.
Providers now face a lower-stakes set of decisions but the same mandate to wean themselves off of fee-for-service pay.
States are serving as both laboratories and building blocks for innovative healthcare models, but the impact of this approach on healthcare quality and spending remains to be seen.
By tweaking an existing funding opportunity to tackle the social determinants of health, the CMS will make it "more manageable" for organizations to apply, one observer said.
Boston-based PatientPing has found a unique way to connect providers across the country instantly. Co-founded in 2013 by former CMS Innovation Center strategist Jay Desai, PatientPing informs providers when their patient is admitted to an unaffiliated facility with real-time notifications, or pings.
Most physicians are expected to opt for the Merit-based Incentive Payment System, known as MIPS, rather than assume the downside risk of alternative payment models.
The ACO will foster collaboration between physicians at Duke Health and WakeMed hospitals and outpatient facilities. It will also include WakeMed Key Community Care, the system's ACO that includes 370 primary-care providers and 750 specialty-care providers.
Medicare's newest program testing accountable care organizations is not even a year old, and three out of 21 participants have already exited.