Despite the elimination of mandatory bundled payments by the Centers for Medicare and Medicaid (CMS), commercial insurers are investing in this model based upon the positive results they’ve seen from the CMS demonstration models and their own trial experiences. Bundled payment models shift financial and clinical accountability to a single provider-led organization that takes responsibility […]
An editorial by Shane Wolverton. As commercial payers seek strategies to lower costs and improve care quality, they are increasingly paying closer attention to bundled payments. While many payers express concerns about the impact of recent regulatory reversals that removed mandatory requirements for bundled payments, the benefits of bundled pricing still resonate strongly throughout the […]
(HealthNewsDigest.com) – While mandatory bundled payments have been scaled back by the Centers for Medicare and Medicaid (CMS), commercial insurers are starting to offer bundled reimbursement programs to their customers. Market analysts see government support of voluntary bundles for payment initiatives as a signal that this innovative strategy is here for the long-term. A number […]
The Centers for Medicare and Medicaid Services’ (CMS) cancellation of the mandatory payment bundles for cardiac care, surgical hip and femur fracture treatment in late 2017 is expected to be replaced in 2018 with a voluntary program, called the Bundled Payments for Care Improvement Advanced (BPCI). CMS also cancelled the cardiac rehabilitation incentive payment model […]
Healthcare organizations have long employed various approaches to risk management to prepare for risks that are unique to healthcare delivery settings, such as adverse events that pose harm to patients, visitors, and employees. However, with the advent of the Affordable Care Act (ACA), which mandates the tethering of clinical and financial operations together into value-based […]
Andy Weissberg, Senior Vice President, Marketing Communications, Quantros, the healthcare industry’s leading provider of performance measurement and management solutions joins eHealth Radio Network to discuss the journey of value in value-based healthcare.
With the increased adoption and implementation of various types of bundled payments and episodic reimbursement models among government, commercial and private payers, incentives are now in place to improve care coordination, quality, patient safety and cost efficiency. However, this shift will place new importance on information technology and providers’ ability to collect and act upon […]
To optimize payments and reimbursement in emerging value-based care models, hospitals and health systems need to more proactively measure and improve clinical and financial performance across a myriad of quality and patient safety measures and programs. The inherent challenges to achieving these goals are daunting, expensive and increasingly burdensome to all stakeholders in value-based care: […]
In the increasingly competitive, transparent and value-based healthcare economy, hospitals and health systems in Western PA and throughout the nation are facing increasing financial pressure from healthcare purchasers and payers to improve patient care outcomes. At the center of value-based purchasing and reimbursement, performance against numerous measures of quality and patient safety performance also heighten […]
Many skilled nursing and long-term care providers face uncertainty stemming from the heated debates over repeal of the Affordable Care Act and the fate of the Better Care Reconciliation Act.