Value-based Reimbursement

Value-Based Care Requires Good Big Data, Better Communication

by Jennifer Bresnick

Brevity may be the soul of wit in the literary world, but it’s the opposite of a good thing when it comes to safe, comprehensive, and cost-effective patient care.  In the value-based care...

Collaboration, Big Data Help Phoenix Children’s Focus on Value-Based Care

by Jennifer Bresnick

Mergers, acquisitions, and new partnerships can be a scary prospect for healthcare organizations, no matter which side of the negotiating table they are occupying. In addition to potential cultural...

Why an “Empty Desire” for Big Data is Inhibiting Value-Based Care

by Jennifer Bresnick

For the most part, the healthcare industry has embraced the idea that access to big data is a critical part of doing business in the modern care environment.  But there’s a major difference...

EHRs, Value-Based Care Constrain Personalized Medicine Progress

by Jennifer Bresnick

Oncologists are eager to embrace the potential of personalized medicine and genetically-driven precision therapies, but face many of the technical, administrative, and reimbursement challenges that...

Revenue Cycle Analytics Enable Value-Based Care for Pediatrics Group

by Jennifer Bresnick

Value-based care contracts are becoming increasingly popular for providers and payers looking to slim down spending and increase quality, but few organizations can truly flourish in the...

Value-Based Payment Ups Adherence to Mental Health Guidelines

by Jennifer Bresnick

Healthcare providers receiving value-based payments are more likely to adhere to evidence-based population health management guidelines for depression than their fee-for-service peers, says a new study...

Why Value-Based Care Must Inspire Partnerships, Data Exchange

by Jennifer Bresnick

The only constant in the healthcare industry is change, but many providers are still working on their ability to keep up with the latest developments in population health management, value-based...

44% of Payers, Providers Find Population Health Tools Effective

by Jennifer Bresnick

Population health management tools are getting a high approval rating from 44 percent of the payers and healthcare providers as they slowly embrace value-based payments and a more coordinated,...

CMS Names Awardees of $5M Grant to Aid MACRA Implementation

by Nathan Boroyan

The Centers for Medicare and Medicaid Services (CMS) on Thursday announced two grant awardees who will receive up to $5 million to support providers with MACRA implementation. The CMS funding is part...

How Does the ONC Define HIE, Value-Based Care, Population Health?

by Jennifer Bresnick

The new ONC Health IT Playbook contains a wealth of resources and information for healthcare organizations in various stages of reform.  From the very beginning stages of negotiating an EHR...

Will Risk-Based Population Health Management Take Off in 2017?

by Jennifer Bresnick

Population health management is a top priority for the majority of healthcare organizations, especially those who acknowledge that risk-based, value-driven reimbursements may soon be the dominant form...

Comprehensive Primary Care Plus Applications Close Sept. 15

by Nathan Boroyan

The online application for practices interested in participating in the new value-based care model, Comprehensive Primary Care Plus (CPC+), will close at 11:59pm ET on Thursday night, Sept. 15, the...

CMS Reform Model Fosters Care Coordination, Population Health

by Jennifer Bresnick

A CMS evaluation of the second year of the State Innovation Model (SIM) Initiative shows that the healthcare reform program may be starting to bear fruit in the realms of care coordination, value-based...

What is the New Comprehensive Primary Care Plus Program?

by Nathan Boroyan

The traditional fee-for-service reimbursement model is slowly being phased out in favor of value-based care, and a new advanced primary care model, called the Comprehensive Primary Care Plus (CPC+)...

CMS Hosts Help Session for Physician Quality Reporting System

by Jennifer Bresnick

CMS is holding virtual “office hours” for providers who are unsure how to successfully attest for the 2016 Physician Quality Reporting System.  The first of three online sessions...

ACC, AHA Update Clinical Quality Measures for Heart Problems

by Jennifer Bresnick

In an effort to reduce harmful variation in care, prepare providers for pay-for-performance contracting, and aid the development of population health management analytics, the American College of...

Quality Metrics, Big Data Woes Make Value-Based Care Difficult

by Jennifer Bresnick

Overly complex clinical quality measures, inadequate health information exchange, and poorly designed EHR interfaces are just some of the challenges providers face when trying to make decisions about an...

Big Data Analytics Can Bring Visibility, Value to Healthcare

by Jennifer Bresnick

The healthcare industry is often criticized for being ploddingly slow to innovate, reluctant to embrace new technologies, and unable to keep pace with quality measures and payment reforms intended to...

Could Blockchain Control Population Health Management Costs?

by Jennifer Bresnick

As the healthcare industry continues its journey from volume to value, payers and providers alike are continually seeking new strategies to contain costs, improve outcomes, and rise to the challenges of...

Providers Quick to Blame Vendors for HIE, Interoperability Woes

by Jennifer Bresnick

No matter how often health IT vendors insist that improved health data interoperability is on the way, providers are reluctant to believe that their developers are putting enough elbow grease into...