On Monday, the Centers for Medicare & Medicaid Services (CMS) announced its largest-ever initiative to transform and improve how primary care is delivered and paid. The initiative called the Comprehensive Primary Care Plus (CPC+) model will be implemented in up to 20 regions and can accommodate up to 5,000 practices, which would encompass more than 20,000 doctors and clinicians and the 25 million people they serve. The initiative builds on the Comprehensive Primary Care initiative launched
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Survey: Most Americans Don’t Associate Price with Quality Healthcare
With growing efforts to provide people with information about health care prices, some health care experts have expressed concern that patients may avoid low-price care if they associate price with low quality. However, most Americans do not associate the price of care with the quality healthcare, according to an analysis of survey data published in the April issue of Health Affairs.While health care prices vary widely throughout the country, there is no evidence that higher prices are
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Senate & House Committee Leaders Demand Answers on 316 Security Breaches on HealthCare.gov
Republican committee leaders in the Senate and House today asked the administration for information about the 316 security breaches on HealthCare.gov catalogued in a new report released by the nonpartisan government watchdog, the Government Accountability Office (GAO). Between October 2013 to March 2015, HealthCare.gov had 316 security incidents, including 41 which involved personally identifiable information.
The GAO reported that HHS does not have complete records of how many people these
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What Is The Financial Impact of Value Based Healthcare for Physicians?
The Centers for Medicare and Medicaid Services (CMS) is working hard to transition physicians’ payments from volume to value of services. The current Acting Administrator at CMS is a former top executive at United Healthcare, a commercial health insurance corporation. The previous Administrator at CMS is currently the president and CEO of America’s Health Insurance Plans (AHIP), which is the dominant health insurance lobbying group. It may therefore behoove us to rephrase the opening sentence:
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5 Healthcare Supply Chain Trends to Watch in 2016
For the past several years, spurred by regulatory healthcare reform and the overarching need to make the industry more sustainable, the healthcare supply chain has evolved from simply a transaction-driven process into a strategic, data-driven operation.
As a result, the healthcare supply chain acts as a backbone for the industry’s drive to reduce costs while simultaneously improving patient care. With the last few years defined by supply chain innovation and exploration in healthcare, Global
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KLAS: Advisory Board, Premier Top Firms for Value-based Care Consulting
As healthcare moves from a fee-for-service model to a value-based care (VBC) model, many providers are having to reengineer aspects of their business. "Value-Based Care. Making the Shift: Who Can Help?" is the first report published about this market segment by KLAS. The report found that Advisory Board, Conifer and Evolent scored high with providers in giving them confidence to deal with evolving alternative payment models and preparing for future risk.
Top Firms for VBC Consulting/Management
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AMIA Urges CMS to Rethink Informatics Policies as New Models of Care Emerge
In comments submitted to the Centers for Medicare & Medicaid Services (CMS), the nation’s leading data scientists in healthcare urged federal officials to use new payment policies to reassess how providers are required to use informatics tools, and rethink how quality is measured in a digital world. Officials from the American Medical Informatics Association (AMIA) said new and novel ways to deliver care will rely on dynamic uses of information technology (IT) and other informatics tools, so
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3 Trends Driving Medicare Towards Bankruptcy
The 50-year old Medicare program is not aging well; and that’s not good news for seniors, according to a new report by National Center for Policy Analysis Senior Fellow Devon Herrick. When President Johnson signed the Medicare program into law on July 30, 1965, no one anticipated the program to grow at the rate it has. In 2014, the Medicare program spent over $613B to cover healthcare for 54 million beneficiaries. The law states that seniors do not qualify for Medicare until age
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Healthgrades: 1 in 6 Patients Receive Care In 1-Star Rated Hospitals
1 out of every 6 patients in the U.S. received care in a hospital rated 1-star[1], according to new research released by Healthgrades, the leading online resource for comprehensive information about physicians and hospitals. Had those patients researched local doctors and hospitals to identify and select a physician practicing in a 5-star hospital for their specific procedure or condition, they would have faced a 71 percent lower risk of dying or a 65 percent lower risk of experiencing
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3 Medicare Reforms That Could Keep Seniors Healthier, Wealthier
Empowering seniors to take control of their own health spending and rewarding the doctors who coordinate patients’ care, as well as the providers that reduce patients’ costs and improve the quality of their treatment, could vastly improve the health of seniors on Medicare, according to a new report by National Center for Policy Analysis Senior Fellow Devon Herrick. Medicare reform requires empowering seniors to manage more of their own health care spending using Medicare Health Savings Accounts
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