Accountable Care

Accountable Care

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Oct 14 | Susan Morse

21 Medicare Advantage plans earn 5 stars in CMS release of star ratings

Some 77% of Medicare beneficiaries who enroll in Medicare Advantage plans with drug coverage will be in plans with 4…

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The question is not if value-based care should be implemented, but how.

Oct 13 | Mallory Hackett

Health leaders question how, not if, value-based care should be implemented

Stakeholders argue which form of accountable care organization is best for delivering value-based care.

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Sep 25 |

California lawmakers push insurers to cover prenatal screening tests universally

The lawmakers say by covering noninvasive prenatal testing for pregnant women, California's maternal…

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Sep 25 | Susan Morse

AMA and others ask CMS not to finalize proposed ACO quality changes

Groups say CMS should get more feedback as proposals change the way ACO quality is assessed, reported and scored.

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Sep 16 |

CMS is now accepting grant applications from rural communities to improve healthcare

The amount of upfront and monthly payments will vary based on the level of risk that the ACO accepts in…

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Sep 15 | Susan Morse

541 ACOs in the Medicare Shared Savings Program saved Medicare $1.2 billion in 2019

Organizations such as the National Association of ACOs urge reforms to increase ACO growth and savings.

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Sep 09 | Jeff Lagasse

Health system clinicians perform better under Medicare value-based reimbursement

Those linked to health systems were 99% less likely to receive penalties and 29% more likely to receive…

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Sep 02 |

Humana taps Salesforce Health Cloud to launch coordinated care platform

Humana and Salesforce also plan to develop healthcare solutions using the Healthcare Innovation Lab, based in…

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Aug 28 | Susan Morse

Allina Health and Blue Cross and Blue Shield of Minnesota form value-based agreement

The agreement is expected to provide more stable and predictable revenue, a need underscored by the…

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Aug 19 | Susan Morse

Cleveland Clinic and Aetna form Accountable Care Organization

They are also launching a co-branded commercial insurance plan called the Aetna Whole Health-Cleveland Clinic plan.

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Featured Resources

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?

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.

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.

MostPopular

21 Medicare Advantage plans earn 5 stars in CMS release of star ratings

House passes $2.2 trillion COVID-19 relief bill

CMS will reimburse for 11 new telehealth services during the PHE

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News

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. ...

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.

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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