Accountable Care

Accountable Care

Jul 27 | Susan Morse

Providers support Value in Health Care Act that amends MACRA payment model

Among other provisions, the bill extends the 5% advanced APM bonus for an additional six years and modifies…

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Jul 24 |

Humana to send more than 1M at-home screening tests to members

Qualifying members will be able to identify if they have colon cancer at home and get tailored diabetes-management assistance.

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Jul 02 |

Blue Shield California's Health Reimagined ties provider pay to quality and patient satisfaction

A real-time claims initiative is available statewide to help generate better cash flow for…

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Jul 01 | Susan Morse

Encounter notifications spur a better transition of care that prevents readmissions

Providers can reduce liability, avoid readmissions, prevent costs, and have greater patient satisfaction…

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Jun 22 | Susan Morse

Blacks are hospitalized for COVID-19 at four times the rate of whites, Medicare claims data shows

CMS Administrator Seema Verma promotes value-based payment models to address race, ethnic…

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Jun 04 | Susan Morse

CMS extends Next Generation deadline a year due to COVID-19

CMS also announced changes to other alternative payment models to adjust for the COVID-19 pandemic.

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May 28 | Jeff Lagasse

Community Care Cooperative launches $5 million campaign to boost telehealth

C3 said that telehealth capability is needed in order to better fight the COVID-19 pandemic, and will better serve…

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May 20 | Healthcare Finance Staff

HIMSSCast: How COVID-19 has accelerated healthcare trends, with MoneyBall Medicine's Harry Glorikian

An interview with MoneyBall Medicine author and investor Harry Glorikian.

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May 07 | Jeff Lagasse

How EHR-integrated referral management practices can lower specialty care costs

By incorporating referrals into a physicians' EHR and creating a focused group of specialists, the shift…

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May 01 | Susan Morse

CMS removes COVID-19 inpatient treatment from ACO performance calculations

The interim rule is extending the mitigation of shared losses back to January 2020.

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Featured Resources

Care Collaboration Success for Improved Outcomes The nature of our healthcare ecosystem has been one of siloed care. Rarely do payers, providers and local resources come together with the patient's well-being prioritized as a unifying mission. Read how these organizations are getting it right.

Beyond Dollars and Cents: A Closer Look At Value Beyond the expected improvement in specific metrics, many organizations that outsource RCM with a trusted and certified partner are seeing several ancillary benefits of such agreements.

Debunk the Myth: Outsourcing Doesn't Mean Losing Control With shifts in payer mixes and reimbursement structure, the margin of reimbursement has been shrinking steadily over the last five years. How do revenue cycle leaders navigate payment reform while maintaining stable business office operations?

MostPopular

Former Kaiser CEO George Halvorson promotes universal 'Medical Advantage' for all

CMS increases Medicare payment for three types of providers

COVID-19 is reducing physician compensation

UPDATED: List of 2020 Medicare Advantage star ratings

News

Analyze this: Health systems, health plans get to the core of big data Pamela Peele knows that people who subscribe to cooking magazines have a much higher risk of going to the emergency room. But how she knows that is a whole other story.

Healthcare mergers and acquisitions in 2016: Running list While 2015 was a record-breaking year in healthcare mergers and acquisitions, 2016 saw more change as organizations across the industry adjust and adapt to the evolving financial landscape.

Once-failing hospitals say accountability, transparency key to surviving fallout from failing patient safety grades When Leapfrog released their Spring 2016 patient safety grades recently, 15 hospitals got slapped with a very public 'F' grade casting a spotlight on them that no institution wants. ...

Whitepapers

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle Hospital systems across the country are looking to streamline their billing and collection processes to become more efficient and better compete in their markets. The challenge many face is how to turn the data ...

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