Value-Based Approach Reduces Costs
Shifting from a fee-for-service health system to a value-based one is the most effective way to lower overall healthcare costs, a medical trade group wrote recently to a Senate panel.
AMA Survey: Prior Authorization Hurdles Lead to Adverse Events
Insurance prior authorizations for certain drugs, tests and treatments continue to burden medical practices and could negatively affect patient outcomes, according to new survey results from the American Medical Association.
Humana Announces New Value-Based Contracting Program
n the latest sign that private payers are moving compensation into value-based contracting, Humana announced four participants in its new Hospital Incentive Program (HIP).
Insurers Convert Nearly Half of Business to Value-Based Payments
The Health Care Transformation Task Force, a 41-member group that includes some of the nation's top health systems and payers, revealed Dec. 18 that members have made substantial progress toward transitioning to value-based payment arrangements.
Value-Based Payments Will Improve Care 18% of Physicians Say
Although 47 percent of physicians' compensation is tied to quality or value, only 18 percent of physicians say these payment will improve care or cut costs, a report from Merritt Hawkins found.
The State of Value-Based Care in 2018
The promises of value-based payment models came to life within the last 12+ months with results of real world tests. They quickly move to the implementation of useful models and processes. With ramped-up implementations overcoming value-based care barriers step out as real things.
Members Want Provider Networks With Strong Online Presence
Medical review is the collection of information and clinical review of medical records by physician advisors (for providers reviewing cases before submissions) or a peer review team (for payers) to ensure that payment is made only for services that meet coverage, coding, and medical necessity requirements. Here are 10 instances which can help you better identify when its time to look for a partner.
Value-Based Care Contracting Report: Facing Challenges
The promises of value-based payment models came to life within the last 12+ months with results of real world tests. They quickly move to the implementation of useful models and processes. With ramped-up implementations overcoming value-based care barriers step out as real things.
What Do Doctors Need to Practice Value-Based Care?
The promises of value-based payment models came to life within the last 12+ months with results of real world tests. They quickly move to the implementation of useful models and processes. With ramped-up implementations overcoming value-based care barriers step out as real things.
Prior Authorization Reform Strategies: Payers Boost Efficiency
Prior authorization reform strategies allows payers to limit unnecessary spending on high-cost prescription drugs, but leading provider experts suggest that payers could do more to boost the efficiency of prior authorization procedures for clinically valid prescription requests.