Health Care Reform

Bundled Payments | Rewarding Quality and Value

2017-04-02T13:28:40-04:00By |Care Coordination, Financial Analysis, Health Care Reform, Services|

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.

Providers: Shifting Landscape and Mindset

2017-04-02T13:28:41-04:00By |Financial, Health Care Reform|

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.

Healthcare Reform Buzzwords | ACA Basics

2023-07-28T14:35:06-04:00By |Accountable Care Organizations, Health Care Reform, Health Insurance, Health Insurance Exchange, Services|

The ACA was enacted in 2010 with provisions becoming effective through 2015 and beyond. Many of the provisions have been delayed beyond the dates originally set. For the official information regarding each of the provisions and the current effective dates, please visit www.healthcare.gov. The department given ultimate responsibility for administering the ACA is the Department of Health and Human Services. Additionally, the Center for Medicare and Medicaid Services (CMS) has been given responsibility for carrying out many aspects of the ACA.

What You Should Know About the Medicaid Primary Care Rate Increase (PCRI) Part 2

2017-04-02T13:28:41-04:00By |Health Care Reform, Services|

The Affordable Care Act specifies increased payments for three primary care medical specialties as they relate to Medicaid's Primary Care Rate Increase: Family Medicine, General Internal Medicine and Pediatrics. The Final Rule interprets this language to include some subspecialties with a relation to the original three, but does not list the subspecialties.

Obama Announces Consumers Can Keep Health Insurance Plans 2 More Years

2017-04-02T13:28:42-04:00By |Health Care Reform, Health Insurance|

President Obama announced earlier this week that consumers with healthcare plans that do not comply with the new law will be able to renew their plans for another two years. Previously, the extension was believed to be one year at best, so the announcement of a two year grace period came as quite a relief for the million or so Americans with transitional coverage.

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