Physicians aren't buying into CMS and private pay models that make them take on downside risk. A key reason? They're accountable for costs they can't control.
Some participants in Medicare's newest bundled-payment program may be heading for the exit in March.
Humana and Heritage Provider Network on Wednesday unveiled a new value-based agreement that will bring the physician-led care organization into Humana's Medicare Advantage network.
The University of Tennessee Medical Center and Vanderbilt University Medical Center network's value-based model will pay hospitals, doctors and other providers based on the health outcomes of their patients.
As Medicare funds dry out, the OMB believes simplifying value-based pay models and reducing spending on care delivery could be crucial to shoring up the program.
Heritage Provider Network founder and CEO Dr. Richard Merkin says his goal is to continually push the envelope and try things that haven't been done before.
Virginia Mason Chairman and CEO Dr. Gary Kaplan says health systems can't sit around waiting for the payment model to change; they need to act now to drive more efficient, higher-value care.
New analyses of the major payment reforms begun during the Obama years suggest they do in fact lower healthcare spending. While the savings are small, they provide a strong argument for HHS Secretary Alex Azar to step up the pace of value-based reimbursement reform.
The Comprehensive Care for Joint Replacement model led to a drop in spending on seniors in need of joint replacements in just eight months. The speed of results surprised federal researchers as it usually takes much longer for models to show value.
A new primary-care pay model shows promise, but needs more work before it's widely tested, according to the Physician-Focused Payment Model Technical Advisory Committee.
The 472 Medicare ACOs generated a total of $1.1 billion in savings in 2017, allowing the CMS to make a $313.7 million gain from the program after dishing out bonuses. The savings come as the CMS looks to overhaul the program.
CEO Tom Jackiewicz explains why Keck Medicine of USC has embraced bundled payments and how the team approach to care works best for patients and providers.