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Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant

6 Most Common Value-Based Payment Models

by Fred Pennic 05/29/2014 Leave a Comment

While 75% of providers currently participate in at least one value-based payment model, and more than 60% expect them to become the dominant payment model, fewer than 30% believe they offer a good level of reward for the risk. This is according to a study published by Availity, one of the nation’s leading health information networks.
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CMS Extends Partial Code Freeze for ICD-10-CM PCS and ICD-9-CM Codes

by Fred Pennic 05/22/2014 Leave a Comment

Today, Centers for Medicare & Medicaid Services (CMS) announced that the partial code freeze on updates to the ICD-10 and ICD-9-CM diagnosis and procedure codes will continue until October 1, 2015. Regular updates to ICD-10 will begin on October 1, 2016, one year after the newly announced compliance date. According to the official statement, "the ICD-10 Coordination and Maintenance Committee will continue to meet twice a year during the partial freeze. At these meetings, the public will be
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3 Biggest Challenges to Value-Based Payment Models Success

by Fred Pennic 05/21/2014 3 Comments

Value-Based Payment Models

Coordination of care, data accuracy and staff acceptance are among the top three challenges to the future use of value-based payment models, according to a new study by Availity. The study found 75 percent of providers currently participate in at least one value-based payment model in addition to traditional fee for service with 60 percent expecting them to become the dominant payment model. Despite its growing dominance, fewer than 30 percent believe they offer a good level of reward for the
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3 Ways Healthcare Price Transparency Could Save $100B Over 10 Years

by Fred Pennic 05/16/2014 Leave a Comment

Healthcare price transparency initiatives, which includes providing patients, physicians, employers and policymakers more information on healthcare prices could reduce U.S. healthcare spending by an estimated $100 billion over the next decade, according to a new analysis from the Gary and Mary West Health Policy Center.
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Big Insurance Giants Partner to Provide Price Transparency Tools to Consumers

by Fred Pennic 05/15/2014 Leave a Comment

Aetna, Humana and United Healthcare have announced that it will work with the Health Care Cost Institute (HCCI) to develop and provide healthcare price transparency tools for consumers.
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5 Considerations for Launching A Private Insurance Exchange

by Jasmine Pennic 05/15/2014 Leave a Comment

Now is the time for insurers to shore up their private insurance exchange strategies to be successful for the 2015 enrollment season, the single most time-consuming administrative challenge for HR professionals every year.
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Brace Yourself for Price Transparency in Healthcare

by Margalit Gur-Arie 05/15/2014 Leave a Comment

It’s here. For the first time in 35 years (or 33, depending on which click bait headline you clicked on), the much anticipated data on Medicare payments to physicians, has been released to the public, on the historic date of April 9th, 2014.
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Prior to ICD-10 Delay to 2015: 44% of Physicians Were Unprepared

by Jasmine Pennic 05/09/2014 1 Comment

Before the ICD-10 delay to 2015 by the government, 44 percent of physicians did not know whether they would be ready, according to the 2014 Practice Profitability Index (PPI). In fact, another 25 percent were certain they would not be prepared and face high transitions and ICD-10 upgrade costs.
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Medical Tourism Close to Home: Price Transparency is Key

by Shannon Dauphin Lee 05/09/2014 1 Comment

Medical tourism was once made up of patients from developing countries traveling to places like the United States to receive medical care that wasn't available in their homeland. But over the past decade, medical tourism has shifted dramatically.
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Infographic: Physician Practices’ Profitability Declines in 2014

by Jasmine Pennic 05/08/2014 1 Comment

Infographic illustrates the how physician practices' profitability is continuing to decline in 2014 based on the key findings from the 2nd annual Practice Profitability Index.
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