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Bundled-payment joint replacement programs winning over surgeons

Bundled-payment joint replacement programs winning over surgeons

By Harris Meyer  |  October 07, 2017

Administrators and physicians involved in the CMS' bundled-payment programs for total joint replacement say they're impressed with how the programs have engaged physicians to produce lower costs and better outcomes for patients.

Plan​ to​ scrap​ bundled​ payments​ will​ get​ industry​ scrutiny

Plan​ to​ scrap​ bundled​ payments​ will​ get​ industry​ scrutiny

By Matthew Weinstock  |  October 07, 2017

The Trump administration has not been bashful about its desire to scale back several initiatives launched under its predecessor. Perhaps the most significant actions have been steps to reverse course on mandating that providers participate in various alternative-payment programs.

Editorial: A backward move on value-based care

Editorial: A backward move on value-based care

By Merrill Goozner  |  August 19, 2017

The Trump administration wants to dramatically scale back Medicare's bundled-payment program. It is the wrong move at the wrong time and should be opposed by all providers and insurers committed to moving from payment for volume to payment for value.

CMS looks to launch behavioral health pay model

CMS looks to launch behavioral health pay model

By Virgil Dickson  |  July 20, 2017

The CMS is interested in launching a new pay model that will target behavioral health services and is seeking public comment on what the new effort should look like. The announcement comes at a time when agency officials say they are still committed to value-based care.

Rule-o-rama spells trouble for hospitals

Rule-o-rama spells trouble for hospitals

By Virgil Dickson  |  July 14, 2017

In addition to Medicaid cuts that continue to be part of the GOP's plan to repeal and replace the Affordable Care Act, a 1,500-page Medicare payment rule and next year's physician fee pay rule all tighten reimbursement for providers, and most it spells trouble for hospitals.

Imaging use plunges as coding, reimbursement tightens up

By Rachel Z. Arndt  |  May 02, 2017

Medical imaging use in the U.S. has dropped significantly after years of widespread growth, leading to curtailed hiring, equipment purchases and reduced access to the technology thanks to cuts in federal reimbursement and new coding arrangements, according to a new study.

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