University Hospitals Cleveland Medical Center is providing Walmart health plan members joint replacements as part of a bundled-payment program.
Provider groups have just two months to decide about participating in the CMS' Bundled Payment for Care Improvement Advanced program, but they still don't have the claims data they need to make that decision.
Providers aren't using the standardized metrics and tech solutions needed to transition behavioral health into value-based pay models.
Some providers believe HHS Secretary Alex Azar will ease provider self-referral restrictions that they say inhibit physicians and hospitals from building accountable care organizations.
The Louisville, Ky.-based insurer joined a small group of private payers bundling childbirth services, citing the potential for savings.
A bipartisan group of House lawmakers are banding together to create the Healthcare Innovation Caucus, promising legislation to support the move to value-based care.
Geisinger, with support from devicemaker Medacta International, will provide unlimited free follow-up care to its plan members who undergo hip replacement surgery by one of its providers. The two will proportionally share the costs of follow-up care.
The CMS punted on a question from hospitals about how the agency will update its pay strategy for the Care for Joint Replacement model now that knee replacements can take place in outpatient settings. Providers say the uncertainty is causing them to worry over finances.
The American Hospital Association urged the agency to provide more details on its newest voluntary bundled-payment model and to delay the deadline to apply so hospital leaders have more time to consider participating.
One hospital's successful use of a bundled payment for congestive heart-failure patients offers encouragement to many providers that are struggling to achieve savings with this notoriously challenging patient population.
An Indiana health system has found success with a bundled-payment program for sepsis, but savings for its congestive heart failure bundle has been uneven.
CMS' new voluntary bundled-payment model appeals to health systems and doctors because of the potential to reap financial bonuses and the flexibility to choose from many clinical episodes, industry stakeholders say.