Tag:

fee-for-service

Latest Headlines

Latest Headlines

CEOs share 3 strategies for success in a value-based industry

It's not surprising that an American College of Healthcare Executive survey found financial challenges are the top concerns for hospital CEOs. After all the industry faces financial pressures...

4 strategies for provider success

Healthcare providers must adapt and change to the evolving industry climate, taking into consideration healthcare consumerization and the evolution of risk, which is shifting from payers to providers, according to an article from  Strategy+Business.

SGR deal prompts unprecedented praise from AMA, AAFP

Physician groups across the country applaud a proposal to repeal Medicare's sustainable growth rate formula and urge legislators to pass the measure before the end of March when the current Medicare payment formula extension expires, according to  Forbes  columnist Bruce Japsen.

Lawmakers push for Medicare overhaul, focus on coordinated care

Disorganization within the healthcare system and a rise in chronic illnesses has prompted Congress to propose a new approach to Medicare aimed at keeping patients healthier and avoiding hospitalizations, according to the Billings Gazette.

Majority of frequent ER users have chronic conditions, not mental illness

Though urban legend stigmatized frequent emergency room patients as mentally ill substance users who drain the healthcare system of millions of dollars and contribute to overcrowding, most ER superusers actually have chronic diseases, according to a new study published in Health Affairs.

Will new payment model financially ruin small hospitals?

Although Blue Cross Blue Shield of Minnesota has already postponed the implementation of its controversial new payment model for small, rural hospitals, it is still facing strong opposition from those providers being forced away from fee-for-service reimbursements, reported AIS Health.

Global outcomes contracting a bridge between volume and value

Premera Blue Cross believes it has found a way to transition from the fee-for-service payment model toward the newer value-based system--a global outcomes contracting program.

Insurers pay $39K more for surgical errors

If insurers better motivated hospitals through financial rewards to provide high-quality care--and decrease surgical mistakes, in particular--they could save a lot of money.

Acting CMS administrator urges incremental shifts from volume to value

Acting Centers for Medicare & Medicaid Services Administrator Marilyn Tavenner wants the industry to phase out fee-for-service models and make incremental reimbursement reforms, Medscape Today reported.

Only 11% of insurers' payments to providers tied to quality

Only about 11 percent of insurers' payments to hospitals and physicians are tied to quality and efficiency of care, according to the Catalyst for Payment Reform's scorecard on payment reform.