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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Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant
CMS’ Next Generation ACO Model: The True Cost of Healthcare’s Transformation
Will providers taking on more risk produce create cost savings and better healthcare for the underserved? Healthcare experts April Wortham Collins and Dutch Dwight weigh in.
The ACO. It was hailed as the care delivery and payment model that would cure healthcare’s inefficiency ills and financial woes. While we’ve seen some quality improvement from Medicare’s Shared Savings Program, the U.S government has yet to see actual savings. Now, CMS has unveiled a more enticing model for providers to
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Aetna, Meridian Health Partner to Create Co-Branded ACO
Aetna and Meridian Health are teaming up to create co-branded, commercial, product-based accountable care organization agreement, which is through Meridian Health Partners, Meridian’s clinically integrated network. It offers employers in Monmouth and Ocean counties a health care model designed to improve quality, efficiency and the patient experience.
The ACO includes doctors who are part of Meridian Health Partners, doctors at Meridian hospitals, and affiliated ancillary providers and
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EvergreenHealth Selects Wellpepper as Mobile Patient Engagement Solution
EvergreenHealth, an integrated health care system has selected Wellpepper, a clinically validated platform for patient engagement as the mobile engagement solution for all total joint replacement and musculoskeletal care plans. The project was made possible at EvergreenHealth with a generous donation from The Schultz Family Foundation, a private not-for-profit foundation founded by Howard Schultz, CEO of Starbucks Corporation, and his wife Sheri.
Patients with musculoskeletal issues that
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Report: 66% of Providers to Focus on Improving RCM in 2016
With the ICD-10 transition in our rearview, 66% of providers plan to focus on improving their overall revenue cycle management processes in 2016, according to the post-ICD-10 implementation survey from Navicure. Fifteen percent indicated they would be working towards a value-based care model while another nine percent are updating and automating patient collections strategies. Navicure and Porter Research deployed the survey in December 2015 as the final wave of a research study designed to
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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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Health Choice Preferred, Cigna Form Accountable Care Collaboration
Health Choice Preferred, a division of IASIS Healthcare, and Cigna have announced an accountable care collaboration designed to offer more than 16,000 Cigna commercial customers in Utah a more coordinated, personalized healthcare option.
The collaboration ties value-based incentives to performance improvements that support population health management and improve outcomes for Cigna’s customers. Health Choice Preferred’s integrated network of healthcare providers utilize a broad range of
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Report: Value-based Care Driving Remote Patient Monitoring Adoption
The healthcare industry's transition to value-based care and the regulatory penalties associated with readmissions are driving the adoption of remote patient monitoring. According to a recent report from Frost & Sullivan, remote patient monitoring is increasingly becoming a critical tool to support the new value-based care environment. As a result, the remote patient monitoring market is expected to grow at a rate of 13.2 percent through 2020.
Defining Remote Patient Monitoring
Remote
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ACO: Integrated Health Network Exceeds Clinical Quality Goals
Integrated Health Network of Wisconsin (IHN) exceeded its clinical quality goals in the first year of a three-year accountable care relationship with UnitedHealthcare, due to enhanced care coordination for patients and better sharing of clinical and financial data.
The results are based on the experiences of 60,000 employer-sponsored health plan participants who sought care from IHN physicians in 2014. During the first year of the program, more patients received the preventive
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KPMG Survey: Only 11% Consider ICD-10 Transition A Failure
Only 11 percent of healthcare organizations described the ICD-10 transition as a "failure to operate in an ICD-10 environment," according to KPMG LLP survey. The survey of 298 attendees of the Nov. 9 Webcast, ICD-10: Just the Beginning, found 80 percent of organizations said the ICD-10 transition has proceeded smoothly. 28 percent stated the ICD-10 transition has been smooth and another 51 percent found "a few technical issues, but overall successful."
"While there seems to be a fairly smooth
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