Tag Archives: FFS

CMS, Maryland Work to Modernize State’s Healthcare System

CMS and the state of Maryland have launched a new initiative designed to modernize Maryland’s unique all-payor rate-setting system for hospital services aimed at improving patient health and reducing costs. It will replace Maryland’s 36-year-old Medicare waiver and allow the … finish reading CMS, Maryland Work to Modernize State’s Healthcare System

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New Funding Will Enhance Care Coordination, Beneficiary Experience of Dually Eligible

New funding from the CMS and the Administration for Community Living (ACL) will improve coordination of care for Medicare-Medicaid enrollees. This funding will support states in developing independent ombudsman programs, helping dually eligible beneficiaries in the demonstration have a positive … finish reading New Funding Will Enhance Care Coordination, Beneficiary Experience of Dually Eligible

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New BCBS Michigan-Trinity Health Reimbursement Model Rewards Hospital Efficiency

A new reimbursement program between Trinity Health-Michigan and Blue Cross Blue Shield of Michigan will move hospitals away from traditional fee-for-service (FFS) payments towards a value-based reimbursement arrangement, according to officials from both healthcare organizations. The focus of the new … finish reading New BCBS Michigan-Trinity Health Reimbursement Model Rewards Hospital Efficiency

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5 Recommendations for Improving Healthcare Quality While Lowering Costs

Transforming healthcare payments from a fee-for-service (FFS) system to one that rewards quality and value is one of five recommendations aimed at improving healthcare quality while lowering costs nationwide. Five national healthcare organizations representing diverse constituencies have agreed upon a … finish reading 5 Recommendations for Improving Healthcare Quality While Lowering Costs

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Analyzing the PHO Population for Cost-Effectiveness

Identifying the main drivers of cost in a Physician Hospital Organization (PHO) population, and then the biggest cost consumers, are key toward managing that population, says Greg Mertz, MBA, FACMPE, director of consulting operations, Healthcare Strategy Group. Then you can … finish reading Analyzing the PHO Population for Cost-Effectiveness

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Study: Rise in Short-Term Hospice Visits by Way of ICU

Hospice care is being increasingly seen as an “add on” to aggressive patterns of care during the last days of life, and it is unclear whether such aggressive care is what patients want, or their families/caregivers want, according to a … finish reading Study: Rise in Short-Term Hospice Visits by Way of ICU

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Report: Healthcare Payment Reform Could Save U.S. up to $600 Billion in Coming Decade

Americans could save between $200 and $600 billion cumulatively over the next 10 years if care provider payment incentives are reformed, including moving away from the traditional FFS model, according to a new working paper by UnitedHealth Group’s Center for … finish reading Report: Healthcare Payment Reform Could Save U.S. up to $600 Billion in Coming Decade

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25 to 31 Million Americans Receive Care Through ACOs: Study

Almost 10 percent of U.S. patients receive their healthcare from an ACO, and almost half live in areas served by at least one ACO, according to a new study from Oliver Wyman. This means that ACOs have significantly grown in … finish reading 25 to 31 Million Americans Receive Care Through ACOs: Study

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