payment reform

Latest Headlines

Latest Headlines

Michigan Blues reaches value-based payment agreement with Trinity hospitals

Blue Cross Blue Shield of Michigan has reached a new value-based reimbursement model with Trinity Health-Michigan that aims to reduce premiums while coordinating care, calling it a first-of-its-kind arrangement that focuses on value, efficiency and improved population health.

Blue Cross payment policy gets provider pushback

A new Blue Cross Blue Shield of Minnesota payment policy is facing strong pushback from the state hospital association, which claims it will cost hospitals millions of dollars and push many small, rural hospitals "into deep, deep red ink."

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.

Payment reform: A marathon, not a sprint

There's been a lot of chatter among health insurance execs, consultants and industry experts that payment reform is a positive change. An absolute necessity, in fact. So why, then, did a recent...

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.

Only 11% of provider payments tied to quality

Only about 11 percent of payments to hospitals and doctors are tied to quality and efficiency of care, according to a national scorecard released today by the Catalyst for Payment Reform.

List of overused services a gift to payers seeking to curb costs

Payers have been working to reduce the healthcare industry's ever-rising costs, starting with shifting reimbursements to focus on quality care instead of volume. Well, payers were handed a...

Payment reform pushes providers to keep financial tabs on patients

To keep better tabs on patients, it's been a challenge to steer patients toward less-expensive settings for services.

UnitedHealth: Payment reform could save $600B

If insurers can dramatically change how they pay doctors, healthcare costs could decrease by $200 billion to $600 billion during the next 10 years, according to a new report from UnitedHealth Group.

Payment reform requires feds, private insurers to align

The best chance of achieving real payment reform requires the federal government aligning its programs with private sector initiatives, insurance execs said at the 1st Annual Health Care Summit, reported Bloomberg BNA.