Medical groups and health systems that are members of AMGA (the American Medical Group Association) expect that nearly 60 percent of their revenues from Medicare will be from risk-based products by 2019, according to the results from a recent survey.
San Diego is one of the more advanced metro healthcare markets, with a long history of risk-based contracting; yet providers must manage both risk-based and FFS contracting, in parallel environments, to be successful
U.S. Representatives Peter Welch (D-VT) and Rep. Diane Black (R-TN) have introduced H.R. 4580, the ACO Improvement Act of 2017 that makes changes to the Medicare accountable care organization (ACO) program.
Suzanne Delbanco, Ph.D. of Catalyst for Payment Reform, which is focused on helping employer-purchasers get value for their spending, shares her perspectives on the CVS-Aetna merger, and on CPR’s new ACO value measurement tool
December 8, 2017 | Carol Everhart, RN, MS, IQCI, Senior Clinical Consultant, Decision Support Change Healthcare
Hospitals everywhere are striving to answer this question: How can we better manage denials?
Denials related to medical necessity account for about 5% of denials nationally. But by closing common gaps that lead to medical necessity denials, your...
Responses to the CMS' request for information on the Innovation Center New Direction were due Monday, and several health IT and healthcare industry organizations submitted feedback on the future of CMMI.
November 16, 2017 | Carolyn Wukitch, Senior Vice President & General Manager, Network & Financial Management, Change Healthcare
Alternative payment programs are now firmly rooted in state-level healthcare policy, as discussions regarding health reform continue in Washington. That’s according to a new national study commissioned by Change Healthcare which finds over 40 states pursuing...
In its comments to CMS, Premier officials highlighted how critical it is for CMMI to continue to serve as a leader in testing value-based care models, incorporating the successes of past models into new models.
Alternative payment programs are becoming entrenched in state-level healthcare policy, according to a new study from Change Healthcare, which found that at least 40 states are pursuing value-based payment programs, with 15 multi-payer initiatives across those...
ETMC Regional Healthcare System’s CIO spoke to Healthcare Informatics about the organization’s biggest challenges right now as it relates to healthcare IT and value-based care, as well as other trends and innovation going on in the region.