The healthcare industry is moving beyond just the development and adoption of alternative payment models (APMs), according to Aparna Higgins, a former leader at the Health Care Payment Learning and Action Network (HCP-LAN).
HCP-LAN is a public-private partnership that aims to accelerate the transition to value-based reimbursement and care through increased APM adoption...READ MORE
There was nary a session at the annual conference of America's Health Insurance Plans that did not include a mention social determinants of health.
Whether it was from the stage or on the show floor, there was widespread acknowledgement that these determinants are crucial factors in achieving the best health of a wide variety of individuals.
It's not that SDOH is completely new to health plans
...READ MORE
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Alignment and Parity Amongst MSSP & MA Payment Models: Preparing Providers to Better Manage Beneficiaries Through Contract Alignment
Data is the catalyst for healthcare's next revolution. Today's healthcare providers and administrators have an incredible opportunity to participate in what may be the biggest societal shift of a lifetime: the move from a fee-for-service (FFS) payer model to value-based care (VBC). Effectively using data will facilitate that shift.
On December 21, 2018, CMS issued a final rule for the Medicare Shared Savings Program (MSSP), strengthening the financial incentives for ACOs to drive improved outcomes.
While much of the attention this week from the Trump administration's executive order on transparency focused on prices, there's also a section of it that calls for alignment of quality measures across all federal healthcare programs. Provider stakeholders and quality researchers support the effort but say it will be a heavy lift...READ MORE
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