Value-based care is undoubtedly helped by new technologies and information-sharing for providers and insurers alike, but the problems that VBC faces are multifaceted and require more than just an assist from software.
Health information exchanges (HIEs) are in a uniquely strong position to help payers and providers in the quest for...National News
This week, skilled nursing facilities are finding new pathways to value-based care and the Medicare Access and CHIP Reauthorization Act (MACRA) is under review for incentives. While ACOs have been struggling, the American Medical Group Association recommended several ways to improve them in a letter to the Centers for Medicare &...CMS Rules
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule on Monday that will expand the home health value-based purchasing (HHVBP) model, which was originally developed by the Center for Medicare & Medicaid Innovation (CMMI) in 2016. The rule also includes updates to the Medicare Home Health Prospective Payment...Arizona News
The Arizona Health Care Cost Containment System is soliciting input from stakeholders to inform the development and implementation of its Value Based Purchasing (VBP) strategies for Contract Year Ending (CYE) 2022 and CYE 2023.
One of AHCCCS’ Strategic Priorities in the AHCCCS Strategic Plan is to pursue and implement long-term...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...National News
Blue Cross and Blue Shield of North Carolina (BCBSNC) announced last month its Blue Premier program, a value-based model of healthcare that binds performance directly to payment. BCBSNC and five other health systems are responsible for fostering better outcomes with a lower cost.
The health systems include:
Cone Health
...Arizona News
Differential Adjusted Payment (DAP) rates will be effective with dates of service beginning October 1, 2018, through September 30, 2019.
The AHCCCS Administration is implementing these DAP rates to assure that payments are consistent with efficiency, economy, and quality of care and are sufficient to enlist enough providers so that...