Bundled Payments | Rewarding Quality and Value
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?
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
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?
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. Pharmaceutical executives were deeply embedded in the process of creating healthcare reform legislation and the industry orchestrated a balanced trade whereby they would agree to financial offsets posed by closing […]
Preparing for an Accountable Care Organization Conversion
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
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 to boost efficiency within the healthcare system so that quality improves while cost savings are achieved. As part of this initiative, more and more healthcare organizations are turning to “lean […]
Readmissions – Reducing Readmissions Through Collaborative Efforts
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
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
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
How will Medicaid work with the new exchange? What changes have occurred as a result of the ACA?
