Through its bundled payments pilot program, the Medicare program is currently testing models that it hopes will encourage higher-quality, lower-cost care and ultimately influence how other payers design their own alternative payment models, according to a policy brief from Health Affairs.
As the healthcare industry continues to transition to value-based payment models, insurers and hospital groups increasingly want drug and device manufacturers to link their prices to results.
Although Medicare was built on a failing model of fee-for-service, the nation's largest insurer has been making plans to transform itself into the future, say two health policy experts.
Medicare will now pay providers who perform hip and knee replacement surgeries based on their ability to deliver high-quality, low-cost care under a five-year initiative announced Thursday by the federal government.
Patient-centered medical homes may have the most success in their mission to improve care quality and lower hospital utilization when they offer financial incentives for participants in the form of shared savings, a new study suggests.
While providers and industry groups hailed Tuesday's long-awaited repeal of the controversial Sustainable Growth Rate formula, some doctors who treat Medicare patients will still see the 21 percent reimbursement cuts that the Senate's last-minute vote was intended to avoid, The Hill reports.
Mere hours after the Senate pulled off a last-minute repeal of the long-problematic Sustainable Growth Rate formula, panelists at a forum hosted by the National Coalition on Health Care made it clear that while the "doc fix" bill represents a major step forward, it is only one piece of the healthcare reform puzzle.
As the shift to value-based payment models picks up steam, this factor alone isn't enough to fundamentally change the way care is delivered, Duncan Maru, M.D., Ph.D., writes in a piece for Harvard Business Review.
The rise of value-based payment models has made hospital readmission reduction a top priority for providers, and strategies abound for how to tackle this often-thorny issue. Perhaps the most effective approach to take, then, is one that blends two of the most effective care-coordination methods, according to Hospitals & Health Networks Daily.
As many states expand the role of advanced-practice registered nurses and nurse practitioners, there's plenty of reasons to welcome this latest shift in the healthcare landscape, according to Healthcare Finance.