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The Dawn of Consumerism: Key trends and strategies for healthcare consumerism

October 6, 2017  |  David V. Gallegos, SVP, Consulting Services, Change Healthcare Consulting
article
Reducing costs and improving quality are the two prevailing objectives behind most healthcare initiatives. However, one leg of the proverbial stool that doesn’t get much attention are the efforts to improve the patient experience. Healthcare in the United...

New CMS Data on ACOs: Maybe Not a High-Speed Train, But a Train Nonetheless

October 17, 2017  |  Mark Hagland
commentary
CMS’s release last week of data from the Pioneer and Next Gen ACO programs revealed genuine progress being made among participating ACOs—with lots of opportunity for ongoing improvements, of course

CMS Releases 2016 Next Generation ACO Data with Positive Financial, Quality Results

October 16, 2017  |  Rajiv Leventhal
article
The Centers for Medicare & Medicaid Services (CMS) has released results from year one of its Next Generation ACO model, revealing that 61 percent of program participants were able to earn shared savings last year.

Healthcare Associations to Congress: Extend MACRA Flexibilities by Three More Years

October 16, 2017  |  Rajiv Leventhal
news
Several prominent healthcare associations and medical societies have written a letter to leading members of the Committee on Energy and Commerce, proposing to continue current MACRA flexibilities for an additional three years.

One Healthcare RCM Leader Shares his Perspectives on Navigating the Shifting Landscape

October 16, 2017  |  Heather Landi
article
Brian Sanderson, managing principal of Crowe Horwath LLP healthcare services group, discusses strategies for CFOs to navigate the shifting landscape around revenue cycle management and reimbursement.

With the Future of CMMI in Dynamic Flux, One Federal Advocacy Leader Shares His Perspectives

October 13, 2017  |  Mark Hagland
article
Like leaders of other healthcare professional associations, Blair Childs of Premier Inc. has been carefully watching what’s been happening with the Center for Medicare and Medicaid Innovation (CMMI), as CMMI’s payment innovation work remains an industry focus

In New Mexico, a Medical Home Model Created Outside the Hospital

October 12, 2017  |  Rajiv Leventhal
article
Barbara McAneny, M.D., an oncologist/hematologist, was the leader behind the Community Oncology Medical Home, a model built around keeping patients out of the hospital.

Analysis: Track 1 ACOs Set for Positive MIPS Payment Adjustments

October 12, 2017  |  Rajiv Leventhal
news
An analysis by the National Association of Accountable Care Organizations revealed that 2017 Track 1 ACOs are likely to score well above the MIPS performance threshold, and most above the MIPS exceptional performance threshold.

Survey: 73 Percent of Physicians Prefer Fee-for-Service Models

October 12, 2017  |  Heather Landi
news
A survey of 980 physicians by New York City-based Bain and Company, a management consulting firm, found resistance among physicians to the transition to value-based care and payment models, and 60 percent said it will be more difficult to deliver high-quality...

As North Carolina Moves Towards Medicaid Managed Care, Its Leaders Approach the Operational Issues

October 11, 2017  |  Mark Hagland
article
As North Carolina moves to transform its Medicaid program into a managed care one, its operations leaders are tackling the process and IT challenges involved, notes Sam Gibbs, a speaker at the upcoming Health IT Summit in Raleigh

Reports: MACRA 2018 Final Rule Coming as MedPAC Proposes MIPS Repeal

October 10, 2017  |  Rajiv Leventhal
article
As the industry awaits MACRA’s QPP final rule for 2018, the Medicare Payment Advisory Commission (MedPAC) said during a meeting last week that MIPS, one of the program’s payment tracks, should be scrapped.

Roadmap to a Connected Digital Healthcare Future

October 9, 2017  |  Bill Tribe and Erik Blazic, A.T. Kearney
article
Along almost every dimension, the 2030 healthcare vision is vastly different and improved. Although many components already exist, what’s missing is a cohesive ecosystem.

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