Accenture has teamed up with health data analytics company Loopback Analytics in an initiative to support health systems aiming to participate in new value-based care models, such as the new Bundled Payments for Care Improvement (BPCI) Advanced program.
Leading healthcare associations are asking CMS to provide more information around the recently-announced voluntary Bundled Payment for Care Improvement-Advanced (BPCIA) model while also outlining concerns they have with its implementation.
Charlene Frizzera, a former senior CMS official, has been on the front lines in helping providers succeed in bundled-payment models—and she has insights to share around what the leaders in the industry have been learning
At Triad Healthcare Network, technology has been a critical factor in the ACO’s success, specifically technology tools that help to identify gaps in care and scale patient engagement efforts, ultimately driving significant improvements in clinical outcomes.
Healthcare Informatics recently caught up with Lee B. Sacks, M.D., chief medical officer of Advocate Health Care, to talk about the ACO’s impressive 2016 results, reasons for its successful performance, challenges faced, and next steps.
The Medicare Payment Advisory Commission (MedPAC), a nonpartisan legislative branch agency that provides the U.S. Congress with analysis and policy advice on the Medicare program, voted 14-2 on Thursday in favor of scrapping the Merit-based Incentive Payment...
In a letter to CMS Administrator Seema Verma, the Medical Group Management Association is calling for the agency to immediately release 2018 MIPS eligibility information, including exemptions under the low-volume threshold and special status as non-patient-facing...
During a Senate Finance Committee hearing, HHS nominee Alex Azar made comments indicating his openness to mandatory bundled payment models, which would represent, if Azar is confirmed, a potential shift in the Trump Administration’s policy.
The Centers for Medicare & Medicaid Services (CMS) has said that there will be 124 new accountable care organizations (ACOs) that will participate in the Medicare Shared Savings Program (MSSP) in 2018.
In the most recent Healthcare Informatics podcast, Managing Editor Rajiv Leventhal and Dr. John Halamka discuss the CIO’s latest takeaways on MACRA, and also touch on other key health IT topics such as the next frontier in innovation and precision medicine.
David Friend, M.D., the chief transformation officer in the BDO Center for Healthcare Excellence and Innovation, shares his perspectives on some of the new business combinations that are disrupting all healthcare sectors
Netwon, Mass.-based Atrius Health has been certified as an accountable care organization (ACO) by the Massachusetts Health Policy Commission (HPC) in what officials call is a first-in-the-nation certification program.
CMS has announced that doctors and other eligible clinicians participating in MACRA’s Quality Payment Program can begin submitting their 2017 performance data using a new system on the program’s website.
Rasu Shrestha, M.D., chief innovation officer at Pittsburgh-based UPMC, shares his perspectives on what's at stake for the imaging industry in the ongoing evolution of healthcare and the path forward toward value-based imaging.
The Integrated Healthcare Association (IHA) and Pacific Business Group on Health (PBGH) have announced that they are working together to develop a benchmarking framework for California ACOs (accountable care organizations).
The U.S. Department of Health and Human Services (HHS) Office of the Inspector General issued a report of its review of the Centers for Medicare & Medicaid Services’ (CMS) management of the Quality Payment Program and cited specific concerns regarding the...
Humana chief medical officer Roy Beveridge, M.D., shares his perspectives on the findings of a recent value-based care study and the implications for providers making the transition to value-based reimbursement model agreements.
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.
St. Anthony Hospital in Chicago is suing the Leapfrog Group over a dispute about the Leapfrog Hospital Safety Grade that it received this fall, opening a new, legal, front in the discussion around quality ratings
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.