Health Care Reform Archives - Page 2 of 17

Bundled Payments | Rewarding Quality and Value

April 15, 2014

Summary: The healthcare industry is transforming from fee-for-service to value-based payment systems. One of the fairly new forms of reimbursement to hit the streets is bundled payments.

Overview of Bundled Payments

The Medicare reimbursement system is in the process of transforming healthcare as we know it from a traditional fee-for-service model to a system that rewards based on quality, care coordination, accountability, and healthcare cost savings.

Healthcare Buzzwords: What is Big Data?

April 14, 2014

The term “Big Data” has only recently entered the healthcare and medicine verbiage. It used to be largely reserved for the larger-than-life scientific research that spanned the entirety of the universe. It’s no surprise that the concept of Big Data has translated nicely to the universe inside of us.

Providers: Shifting Landscape and Mindset

April 4, 2014

As a result of the Affordable Care Act as well as other healthcare legislation, a shift is occurring in healthcare from the provider’s perspective. In order just to survive (not even prosper), physicians are changing the way they conduct business and choosing which patients will be seen.

Shifting Landscape and Mindset – Changes in Medicare
•Medicare reimbursement is certainly on the forefront. Reductions, even if 1% or less, can drastically affect a provider’s bottom line. Consequently, some providers are limiting the number of Medicare patients seen by their practice. Some providers have completely eliminated access to these patients.

Is Patient Centricity the New Trend for Pharma?

November 8, 2013

Is Patient Centricity the New Trend for Pharma? In the post reform environment the pharmaceutical industry has been shown by many to have emerged triumphant.

Preparing for an Accountable Care Organization Conversion

November 6, 2013

Summary: Accountable Care Organization are becoming more prevalent. Are you in the process of deciding whether or not to become an ACO? Do you have the facts you need to make the right choice?

Lean Thinking For Healthcare

November 5, 2013

Lean Thinking For Healthcare With the advent of the highly controversial and experimental Affordable Care Act physicians and healthcare organizations are looking for innovative ways

Readmissions – Reducing Readmissions Through Collaborative Efforts

October 28, 2013

Readmissions have become a focal point over the last couple of years, especially for CMS. The costs have risen to the point of assessing penalties to hospitals whose readmission rates are above the expected and/or standard.

How the Health Care Plan Costs Add Up

October 23, 2013

What makes up the federal deficit? What will the costs be by 2019? How are those costs paid? How do the exchange subsidies factor in? How about the Medicaid expansion? How about the individual and employer mandates or more appropriately the penalties for noncompliance?

6 CMS Bundled Payments of Care Improvement Innovations Under the ACA

October 22, 2013

The ACA promotes quality of care as well as coordination of care. We will discuss 6 bundled payment initiatives/demonstrations CMS is piloting to achieve these goals.

What You Need to Know About Medicaid, the ACA, and the Exchanges

October 21, 2013

How will Medicaid work with the new exchange? What changes have occurred as a result of the ACA?

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