payment reform

Latest Headlines

Latest Headlines

ONC: Docs sharing data more with patients than other providers

Physicians increasingly are sharing patient health information, but are doing so more with patients than with other providers, according to a new data brief published by the Office of the National Coordinator for Health IT.

Anthem sees promise in oncology payment reform initiative

Amid rising concern about sky-high costs and a sometimes-adversarial relationship between insurers and oncologists, Anthem is seeking to change the status quo with its Cancer Care Quality Program.  

3 barriers to post-SGR payment reform

Payment reform in healthcare hit a major turning point in April when Congress permanently repealed the Sustainable Growth Rate formula, but major challenges remain for meaningful reform, according to a  Health Affairs  blog post.  

Expert takes on 'myths' about bundled payments

There are many myths about bundled payments that hold payers and providers back from embracing these models--but they shouldn't, Francois de Brantes, executive director of the Health Care Incentives Improvement Institute, says in a webcast hosted by the Association of Health Care Journalists.

Beacon communities attaining 'clinical transformation' with health IT

The Beacon communities have done a good job in building and expanding their use of electronic health records and other health technologies to improve their clinical practices, according to a recently published report from the National Opinion Research Center at the University of Chicago.

Report: Culture change must precede ACO, medical home success

Physician practices, especially in primary care, have experienced myriad changes in recent years driven by the Affordable Care Act and other trends. Although the long-term impacts of emerging delivery and reimbursement models remain to be seen, a new survey from The Commonwealth Fund and The Kaiser Family Foundation shows a mixed bag of primary care physician reactions to transformation.

EHRs, interoperability integral to proposed joint replacement payment model

The Centers for Medicare & Medicaid Services continues to use payment reform to direct more providers to use electronic health records, this time in its proposed new rule changing how hospitals would be paid for hip and knee replacement.

How lump-sum payments could streamline emergency care

A redesign of the reimbursement model for hospital emergency departments and uncompensated care would provide incentives to improve emergency care and keep competition robust, argues Christopher Pope, Ph.D., senior advisor at the Gary and Mary West Health Policy Center, in a blog post from  Health Affairs.

How payers, providers make bundled payments work [Special Report]

This  FierceHealthPayer  special report explains the basics of bundled payment agreements, identifies some of the most successful use cases for bundled payments, examines the positive impact that bundled payments can have on care delivery and discusses what it will take for bundled payments to spread beyond today's use cases.

5 ACO implementation lessons from healthcare leaders

Every accountable care organization comes with its own stated objectives, but there's also an underlying and often implicit goal: Avoid the failures of capitation.  A panel discussion at this week's  World Health Care Congress in the District of Columbia focused on the lessons that three healthcare executives have learned as their organizations have adopted the ACO model.