Posts Tagged ‘risk-based contracts’

Infographic: Hospitals and Value-Based Care

June 22nd, 2016 by Melanie Matthews

While healthcare organizations broadly support the goals of value-based reimbursement, there are mixed results in achieving those goals, according to a new survey by HealthCatalyst. Many hospitals have embraced value-based initiatives such as accountable care organizations and bundled payments that reward higher quality care while penalizing low quality but few of those surveyed are faring well against Medicare’s goal of tying half its $597 billion in annual payments to value-based care.

A new infographic by HealthCatalyst examines the likelihood of healthcare organizations meeting CMS’ value-based reimbursement goal, the percent of healthcare organizations that are currently engaged in risk-based contracts and the importance of analytics in value-based success.

The New Physician Quality Reporting: Positioning Your Practice for MACRA's Merit-Based Incentive Payment System,A new CMS proposed rule would combine several of its existing physician value-based reimbursement programs, including the meaningful use EHR Incentive Program, the Physician Quality Reporting System (PQRS) and the Value-Based Payment Modifier (VBM). This proposal is part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which replaced the Sustainable Growth Rate (SGR) formula for physician reimbursement. Under this current proposal, physicians will be reimbursed by Medicare under either the Merit-based Incentive Payment System (MIPS) or Alternative Payment Models (APMs) starting in January 2017. As this reimbursement shift by CMS moves forward, physician practices are re-examining how they report on physician quality. Most practices will opt for the MIPS program based on their current risk-contracting strategies.

During The New Physician Quality Reporting: Positioning Your Practice for MACRA’s Merit-Based Incentive Payment System, a 45-minute webinar on July 14th, Eric Levin, director of strategic services, McKesson, will provide a brief MACRA overview and outline where practices need to focus for the remainder of 2016 to avoid reimbursement penalties in 2017 based on the proposed rule.

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Infographic: Risk-Ready Providers Jump Into Government Programs

April 27th, 2016 by Melanie Matthews

Providers are playing an increasingly important role in government programs. These range from active participation in the government marketplace by launching Medicare Advantage and Managed Medicaid products to indirect effects through quality programs that are (to a large extent) controlled by providers, according to a new infographic by Oliver Wyman Group.

The infographic looks at trends in provider-sponsored Medicare Advantage plans and Medicaid risk contracts and drills down into the Oregon and North Carolina markets.

With the nation’s leading accountable care organizations already testing the waters with CMS’ newest value-based reimbursement opportunity, the Next Generation Accountable Care Organization Model, healthcare organizations are evaluating how this new opportunity aligns with their value-based contracting strategy. With a looming application deadline for a 2017 start for the next round of Next Generation ACOs, the clock is ticking. And, with one approved Next Generation ACO, River Health ACO, already departing the program effective February 1st, the “Go-No Go” decision has become even more critical.

During Next Generation ACO: An Organizational Readiness Assessment, a 60-minute webinar on April 5, 2016, now available for replay, Healthcare Strategy Group’s Travis Ansel, senior manager of strategic services, and Walter Hankwitz, senior accountable care advisor, will provide a value-based, risk contract roadmap to determine organizational readiness for participation in the Next Generation ACO Model in particular and in risk-based contracts in general.

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Infographic: MSSP and Next Generation ACO Risk Scenarios

March 21st, 2016 by Melanie Matthews

As healthcare shifts its focus to improved care, healthier populations and reduced costs, accountable care organizations (ACOs) stand to make a lasting, positive impact on the United States healthcare system and healthcare organizations’ bottom lines, according to a new infographic by Greenway Health.

Participation in the Medicare Shared Savings Program (MSSP) has helped ACOs earn shared savings—but what percentage of savings can you earn and what risk do you assume for participating? The infographic examines the features of each track of the MSSP program, including the Next Generation ACO Model.

With the nation’s leading accountable care organizations already testing the waters with CMS’ newest value-based reimbursement opportunity, the Next Generation Accountable Care Organization Model, healthcare organizations are evaluating how this new opportunity aligns with their value-based contracting strategy. With a looming application deadline for a 2017 start for the next round of Next Generation ACOs, the clock is ticking. And, with one approved Next Generation ACO, River Health ACO, already departing the program effective February 1st, the “Go-No Go” decision has become even more critical.

During Next Generation ACO: An Organizational Readiness Assessment, a 60-minute webinar on April 5, 2016 at 1:30 p.m. Eastern, Healthcare Strategy Group’s Travis Ansel, senior manager of strategic services, and Walter Hankwitz, senior accountable care advisor, will provide a value-based, risk contract roadmap to determine organizational readiness for participation in the Next Generation ACO Model in particular and in risk-based contracts in general.

Get the latest healthcare infographics delivered to your e-inbox with Eye on Infographics, a bi-weekly, e-newsletter digest of visual healthcare data. Click here to sign up today.

Have an infographic you’d like featured on our site? Click here for submission guidelines.