Category Archives: Bundled Payments

Humana Accountable Care Snapshot: Reduced Readmissions Among Value-Based Results

Improving access to accountable care is one of four improvements Humana disclosed from ongoing programs to improve quality and reduce costs for Medicare beneficiaries, according to Humana. Humana disclosed results to date from initiatives to foster value-based reimbursement in the … finish reading Humana Accountable Care Snapshot: Reduced Readmissions Among Value-Based Results

Posted in Accountable Care Organizations, affordable care act, Alternative Healthcare Coverage, Avoidable Hospitalization, Bundled Payments, Care Coordination, Elderly Care, Healthcare Costs, Medicare | Tagged , , , , , | Leave a comment

Physicians Need Help with Details, Data Management in New Value-Based Payment Models: Study

As value-based healthcare payment models continue to surge, physician practices need help managing increasing amounts of data and responding to the diversity of programs and quality metrics from different payors, according to a new joint study by the RAND Corporation … finish reading Physicians Need Help with Details, Data Management in New Value-Based Payment Models: Study

Posted in affordable care act, Alternative Healthcare Coverage, Avoidable Hospitalization, Bundled Payments, Care Coordination, Clinical Integration | Tagged , , | Leave a comment

Colorado Hospital Engagement Network Reduces Healthcare Costs by $15 Million, Avoidable Readmissions by 11 Percent

Colorado hospitals and health systems participating in a three-year quality improvement project led by the Colorado Hospital Association (CHA) prevented 2,800 patient harms, 1,250 of which were avoidable readmissions, for an estimated cost savings of $14.8 million, according to the … finish reading Colorado Hospital Engagement Network Reduces Healthcare Costs by $15 Million, Avoidable Readmissions by 11 Percent

Posted in affordable care act, Alternative Healthcare Coverage, Avoidable Hospitalization, Bundled Payments, Care Coordination, Clinical Integration, Disease Management, Hospital Readmissions, Hospital Safety, Hospital Services, Hospital Training, Improving Patient Care | Tagged , , , , | Leave a comment

HHS Announces Timetable, Goals for Medicare Value-Based Reimbursement

For the first time in Medicare history, HHS announced explicit deadlines and goals for alternative payment models and value-based payments. According to the newly released announcement, Medicare’s timeline for moving Medicare payments from volume- to value-based is as follows: HHS … finish reading HHS Announces Timetable, Goals for Medicare Value-Based Reimbursement

Posted in Accountable Care Organizations, affordable care act, Bundled Payments, Disease Management, Medicare | Leave a comment

2015 Hospital Market Will Hasten Transition to Value-Based Payment Business Model

The 2015 economic outlook for the hospital industry continues to favor the largest, most geographically diverse health systems in the market, according to a new forecast from BDC Advisors, a national healthcare consulting firm. The positive outlook for large non-profit … finish reading 2015 Hospital Market Will Hasten Transition to Value-Based Payment Business Model

Posted in Bundled Payments, Healthcare Costs, Healthcare Spending, Healthcare Utilization | Tagged , , , | Leave a comment

Physician Thought Leaders of Tomorrow Must Be Willing to “Rock the Boat”

What kind of individuals are best equipped to engage and lead other physicians in the coming years? Those who are willing to “rock the boat,” and then hold on to the sides of the boat even as it sinks, says … finish reading Physician Thought Leaders of Tomorrow Must Be Willing to “Rock the Boat”

Posted in affordable care act, Alternative Healthcare Coverage, Bundled Payments, Care Coordination, Incentives, Medicare, Physician Alignment, Physician Organizations, Uncategorized | Tagged , , , | Leave a comment

CMS Releases Final Medicare Payment Rules for Value-Based Modifier, Chronic Care Management

CMS has released final rules outlining how Medicare will pay major healthcare providers and suppliers in 2015, including the Value-based Payment Modifier (VBM), which adjusts traditional Medicare payments to physicians and other eligible professionals based on the quality and cost … finish reading CMS Releases Final Medicare Payment Rules for Value-Based Modifier, Chronic Care Management

Posted in Accountable Care Organizations, affordable care act, Alternative Healthcare Coverage, Avoidable Hospitalization, Bundled Payments, Care Coordination, Case Managers, Disease Management, Healthcare Costs, Healthcare Reform, Physician Alignment | Tagged , , , , | Leave a comment

Anthem Blue Cross, Hospital Systems Launch Vivity, Value-Based Health System to Align Care, Improve Costs

In a move away from traditional fee-for-service (FFS) reimbursements to value-based incentives, Anthem Blue Cross and seven top hospital systems have partnered to offer Anthem Blue Cross Vivity, an integrated health system, according to Anthem Blue Cross. The Vivity model … finish reading Anthem Blue Cross, Hospital Systems Launch Vivity, Value-Based Health System to Align Care, Improve Costs

Posted in Accountable Care Organizations, affordable care act, Alternative Healthcare Coverage, Avoidable Hospitalization, Bundled Payments, Care Coordination, Clinical Integration, Improving Patient Care | Tagged , , | Leave a comment

Geisinger: Diabetes Care Bundle Produces Better Health Outcomes

An all-or-none or “bundled” approach to primary care deployed by Geisinger Health System for patients with diabetes produced better health outcomes, and the benefits happened quickly, according to a study published in The American Journal of Managed Care. The study … finish reading Geisinger: Diabetes Care Bundle Produces Better Health Outcomes

Posted in Bundled Payments, Care Coordination, Diabetes, Disease Management, Medical Home, Primary Care | Tagged , , | Leave a comment

CMS Finalizes Medicare Bundled Payments Program for FQHCs

CMS will increase Medicare payments to federally qualified health centers (FQHCs) by as much as 32 percent, replacing the current fee-for-service model with a bundled payment model, according to CMS officials. The new payment system, as outlined in the Affordable … finish reading CMS Finalizes Medicare Bundled Payments Program for FQHCs

Posted in affordable care act, Avoidable Hospitalization, Bundled Payments, Care Coordination | Tagged , , , , | Leave a comment