This Center for Healthcare Quality & Reform report argues most value-based payment programs have failed to meaningfully reduce healthcare costs or improve patient outcomes. In many cases, spending has actually increased, while patients with complex needs have found it harder to access adequate care.
The problem isn’t lack of...Arizona News
Duo Health, a value-based medical group designed to manage chronic kidney disease (CKD) and end-stage kidney disease (ESKD), announced a new strategic partnership with Arizona Complete Health’s Medicare Advantage program, Wellcare by Allwell.
The value-based care program targets Arizona Wellcare by Allwell MA members with...National News
The Commonwealth Fund wanted to know why nearly half of primary care physicians (PCPs) aren't joining the value-based payment (VPB) trend and how to change their minds; smaller, independent, and less-resourced PCPs serving traditional Medicare beneficiaries are the least likely to apply to VBP models, according to the issue...Top of The Day
This week, the Medicaid and CHIP Payment and Access Commission (MACPAC) published an issue brief on regulations from the Centers for Medicare and Medicaid Services (CMS) on Medicaid managed care and directed payment arrangements.
The directed payment option is used by few states in order to require managed care organizations (MCOs) to...Arizona News
This week, accountable care has a new definition following the Health Care Payment Learning and Action Network (LAN) Summit, and the Centers for Medicare and Medicaid Services (CMS) look to get more Affordable Care Act (ACA) plans into value-based insurance design.
Out with the old, in with the new. LAN received feedback from...News
This week a paper in The American Journal of Managed Care posits that TCM and CCM fee-for-service billing codes provide an opportunity for practices to build competencies and move closer to toward value-based payment and care delivery.
Improving quality and reducing unnecessary expenses by reducing readmissions after hospital discharge...CMS Rules
A new analysis of the decline in hospital readmission rates suggests ties to a drop in hospital admissions all together, rather than a Centers for Medicare and Medicaid Services (CMS) value-based purchasing program as previously credited.
The Medicare Hospital Readmissions Reduction Program (HRRP) is a value-based purchasing...Arizona News
Arizona State University researcher William Riley is convinced that value-based payment for oral healthcare would radically improve the health of thousands of the state's residents.
The College of Health Solutions created the National Safety Net Advancement Center at the University. Funded by $2.4 million in grants from the Robert...White Papers, E books, Reports and more
In this white paper from the Center for Healthcare Quality & Payment Reform, author Harold Miller outlines the strengths and weaknesses of FFS payment system, bundled payments and outlines numerous reasons why pay for performance, shared savings/shared risks programs aren't working.
Miller also discusses narrow and tiered...
