In this two-part white paper series, Optima provides insight on the 2016 mandatory VBP initiative for home health agencies in nine states, the Conditions of Participation (CoP) for Medicare and Medicaid, the ACA mandated in-person encounters between physicians and beneficiaries and more.
...White Papers, E books, Reports and more
History and analysis from The Henry J. Kaiser Family Foundation
"In the debate over the future of the Affordable Care Act (ACA), proposals have emerged that would repeal or weaken rules prohibiting health insurance discrimination based on health status, instead offering high-risk pools as a source of coverage for people who would...White Papers, E books, Reports and more
This white paper is provided by Merritt Hawkins, a physician search and consulting firm
Physician and Hospital Reimbursement: From “Lodge Medicine” to MIPS
Published January 2016
In this white paper, Merritt Hawkins traces how compensation for physician and hospital services has evolved through...White Papers, E books, Reports and more
The first report in a series of five on health inequality in the U.S.
The report examines how America's healthcare system may intensify the disparity of health outcomes between wealthy and poor.
"The life expectancy of the wealthiest Americans now exceeds that of the poorest by 10-15 years," Samuel L Dickman MD, David U Himmelstein MD...White Papers, E books, Reports and more
Optima Healthcare Solutions white paper discusses the possible expansion of the MA program, and expected continuation of value-based care and the COP rule
Home health agencies are preparing to comply with new conditions of participation (COP) rules July 13, 2017. The new COP regs are the first comprehensive update from CMS since...White Papers, E books, Reports and more
Whitepaper from the insurance brokerage firm of Cottingham and Butler
This policy brief discusses what aspects of the current healthcare system, including employer plan rules, could be impacted by changes proposed in House Republican's approach to repealing the Affordable Care Act.
The approach this policy...White Papers, E books, Reports and more
Learn more about the winning health systems perspective and approaches
The white paper was published in February as Healthgrades announced the winner of its America's Best Hospitals ratings.
Contents of White...White Papers, E books, Reports and more
Read more about the possible economic impacts of the ACA in this January 2017 report
A new study from the Milken Institute School of Public Health at the George Washington University and The Commonwealth Fund, examines the impact repealing two key parts of the Affordable Care Act (ACA): the federal premium tax credits that help...White Papers, E books, Reports and more
Published in 2014, the Congressional Budget Office (CBO) analyzed the effects of a federally mandated minimum wage increase
The CBO came to the conclusion that a minimum wage increase would have two principal effects on low-wage workers; most would receive higher pay that would increase household income, and some of these...White Papers, E books, Reports and more
Kaiser Family Foundation created an issue brief to refresh our memories on how Medicaid is financed now and future options
Medicaid represents $1 out of every $6 spent on health care in the US. It is the third largest domestic program in the federal budget after Medicare and Social Security. It is the largest source of federal funding...White Papers, E books, Reports and more
AzHHA report shows continued drop in uncompensated care
AzHHA's December report shows that uncompensated care in October dropped to 2.7 percent, reducing costs to hospitals by $42 million since 2015.
Net income in the first 10 months of 2016 has outpaced the same period in 2015 by more than $200 million.
The report contains...White Papers, E books, Reports and more
In this December 2016 brief, the Urban Institute reports on future health care coverage and government health care spending under the ACA and under passage of the most recent reconciliation bill to repeal the law submitted in January 2016
"This brief considers the effect of partial repeal of the ACA in the context of...White Papers, E books, Reports and more
Primary care teams focusing around consumer groups to deliver optimal care for big savings
Primary care physicians (PCPs) are incorporating non-physicians into their practices in order to maximize value and optimize care for patients, according to a new report, published by PwC's Health Research Institute.
PCPs are...White Papers, E books, Reports and more
Optima Healthcare Solutions Guidance May Protect Home Health Agencies Profits
With the re-ignition of pre-claim review upon several states, Optima offers home health agencies guidance on avoiding potential lost revenue.
The Centers for Medicare and Medicaid (CMS) is investing in numerous methods for reducing Medicare fraud....White Papers, E books, Reports and more
Value-Based Health Care Models Must Invest in Prevention to Reduce the Burden of Chronic Disease
Leavitt Partners urges physicians to identify patients who are at risk before the onset of chronic disease in order to reduce future expenses. These chronic diseases are largely preventable, and if left...White Papers, E books, Reports and more
Health Care Payment Learning & Action Network (HCPLAN) White Papers explore Population-Based Payment Models and their effects
What is a Population-Based Payment Model (PBP)?
A PBP is like an Accountable Care Organization. Population-based payments allot a group of providers a set amount of money for patient care. If the group comes...White Papers, E books, Reports and more
Easy-to-use EMRs can help improve clinician's work-life balance
In the advent of Electronic Medical Records (EMRs), many clinicians struggle to adjust to the technological changes while maintaining efficient and effective patient care. Instead of charting a patient's care during an appointment, clinicians spend time charting...White Papers, E books, Reports and more
Arizona Health-e Connection's 2015 Annual Report explores the upgrade to the Health Information Exchange and its new Practice Innovation Institute
In 2015, Arizona Health-e Connection (AzHeC) launched Arizona's Health Information Exchange (HIE), which simplifies patient care coordination between providers.
AzHEC upgraded...White Papers, E books, Reports and more
Medicaid expansion has increased primary care access, expanded use of prescription drugs, and increased rates of diagnosis of chronic conditions
The Affordable Care Act expanded Medicaid by ensuring federal funds match and cover 100 percent of cost to states that expanded Medicaid to non-elderly adults. So far, 31 states and D.C....