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.
The Obama administration will offer an update this week on the state of the nation's entitlement programs.
Accountable care organizations are viewed as the leading government-backed approach in the transition from volume to value. Boston-based company Iora Health is helping providers invert ACO models and deliver strong results.
The Obama administration will offer an update Wednesday on the state of the nation's entitlement programs.
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.
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.
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.
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.
The CMS has issued guidance on processing claims from accountable care organizations that use a waiver to send Medicare patients to skilled-nursing facilities faster as a way to avoid costly hospital visits and provide tailored care.
Collaborative approaches to cutting readmission rates garnered by far the most votes in our reader survey on the most important efforts we've profiled in our regular Best Practices feature.
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.
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.