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Reinventing Claims Management for the Value-Based Era

August 8, 2017  |  Carmen Deguzman Sessoms, FHFMA, AVP, Product Management, Change Healthcare
article
Provider claims management can no longer exist as a silo. With the rapid transformation from fee-for-service to value-based models, denial rates remain high despite advances in technology and automation. For providers to be effective, the revenue cycle...

Is HHS’ Proposal to Scale Back Mandatory Bundled Payments a Step Back from Value-Based Care? Many Healthcare Experts Say No

August 18, 2017  |  Heather Landi
article
Does HHS’s proposal to eliminate mandatory bundled payments signal that CMS is taking its foot off the accelerator in the movement to advanced alternative payment models? Some healthcare experts say no, as value-based payment models continue to drive forward.

What New Research Says about Which Federal Financial Incentives Produce Health System Change

August 18, 2017  |  Mark Hagland
commentary
A new study in Health Affairs looks at the extent to which meaningful use incentives actually spurred EHR adoption—and what the implications are for federally driven incentives for change going forward

MGMA CEO: Millennials Entering the Workforce will Spur EHRs’ Redesign

August 17, 2017  |  Rajiv Leventhal
article
Halee Fischer-Wright, M.D., president and CEO of MGMA, weighs in on a variety of topics related to healthcare IT and physician burnout.

CMS Provides More Details on Proposal to Eliminate Mandatory Bundled Payment Programs

August 16, 2017  |  Heather Landi
news
The Centers for Medicare and Medicaid (CMS) posted a press release Tuesday that provides more details regarding its proposal to change the Comprehensive Care for Joint Replacement Model and cancel the mandatory Episode Payment Models and Cardiac Rehabilitation...

HHS Awards $105 Million to Community Health Centers for Quality Improvement

August 16, 2017  |  Heather Landi
news
The U.S. Department of Health and Human Services (HHS) has awarded nearly $105 million to 1,333 health centers in all U.S. states, territories and the District of Columbia as an investment in quality improvement.

Aledade Announces New Physician-Led ACO in New Jersey

August 16, 2017  |  Rajiv Leventhal
news
Aledade, a Bethesda, Md.-based company started by Farzad Mostashari, M.D., and focused on physician-led accountable care organizations (ACOs), is forming a new ACO in New Jersey under this model.

Doing the Right Thing in the Era of MACRA: The Role of Care Coordination

August 15, 2017  |  Thomas James, III, M.D.
article
In the era of MACRA, providers need to balance reporting requirements, which can be time-consuming, while continuing to put patients first. One of the best ways to do this is to ensure patient care is well coordinated.

NCQA Offers Comments to CMS on Quality Payment Program 2018 Rule

August 15, 2017  |  Rajiv Leventhal
news
In comments to CMS, the National Committee for Quality Assurance (NCQA) has offered several suggestions that it thinks the federal agency should consider before writing the final Quality Payment Program rule for 2018.

HHS Proposes Eliminating or Changing Mandatory Bundled Payment Programs

August 14, 2017  |  Heather Landi
news
The Department of Health and Human Services (HHS) has proposed eliminating mandatory bundled payment in several areas of healthcare including cardiac care and joint replacement, according to a rule title posted last Thursday.

Healthcare Informatics Releases Raleigh Health IT Summit Program Agenda

August 14, 2017  |  Heather Landi
news
Healthcare Informatics, in collaboration with healthcare leaders from across North Carolina, is bringing its critically acclaimed Health IT Summit Series event program to the Raleigh/Durham area on Oct. 19th and 20th at the Sheraton Raleigh Hotel.

Health IT Analytics: ‘More Time Spent Shoveling Coal Than Steering the Ship’

August 10, 2017  |  David Raths
article
As health systems and ACOs establish the infrastructure to provide actionable data to care managers and front-line clinicians, they continue to struggle with messy data, incompatible systems and a lack of automation.
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