Resistance to change is the biggest barrier to value-based care, Monica Engel, senior vice president of Government Markets at Blue Cross Blue Shield of Minnesota, told Becker’s. “Both organizations need to be dedicated to changing how we act and deliver care,” Ms. Engel said. “For a traditional, legacy provider, change from fee-for-service to value-based can…
Download Slides In August, CMS introduced a new mandatory model: Transforming Episode Accountability Model (TEAM), a bundled payment initiative affecting reimbursement for five key surgical procedures. Key Takeaways:Join our webinar, Unpacking the mandatory CMS TEAM model: Overcome new rules & challenges, on Sept. 24, at 1 p.m. EST. During this one-hour session, you’ll learn:…
The federal government has been increasing efforts to tackle health care disparities by linking payment models with social determinants of health.1 In July, The Center for Medicare and Medicaid Innovation (CMMI) announced a new area-level Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) measure for program year (PY) 2025, replacing the PY2024…
As the United States trails in rankings of health care systems of developed nations, value-based care could improve patient outcomes, but might not smooth out administrative efficiency. This week, The Commonwealth Fund published its latest “Mirror, Mirror 2024: A Portrait of the Failing U.S. Health System.” The report shows the U.S. health care is falling…
Since the passing of the Patient Protection and Affordable Care Act (ACA) in 2010, the Center for Medicare and Medicaid Innovation (CMMI) has piloted more than 50 alternative payment models (APMs) designed to improve care across a spectrum of conditions and populations while transitioning away from fee-for-service reimbursement schemes. To date, however, only four of…
Over the past two decades, value-based care has been championed as an alternative payment model that prioritizes quality over quantity. This approach was predicted to be transformative to the health care industry and was set to revolutionize healthcare quality and payments. The idea was so appealing that, in 2014, a substantial 72% of health care…
During a Sept. 17 panel discussion, Susannah Bernheim, M.D. , M.H.S., chief quality officer and acting chief medical officer with the CMS Innovation Center, described how CMS alternative payment models are evolving to include patient-reported measures. Bernheim, who was previously senior director of quality measurement at the Yale-New Haven Hospital Centers for Outcomes Research and…
Palliative care providers engaging in Accountable Care Organization (ACO) relationships have the potential to make significant strides in bridging inequitable gaps of access. Groups of physicians, hospitals and other health care providers voluntarily join forces in ACOs, which are designed to offer high-quality, coordinated care to Medicare patients. Collaborating or contracting with ACO networks can…
Download Slides While much of the current discussion on AI focuses on the technology alone, its integration into the workflow is an often overlooked but critical step that will determine its usefulness. This webinar seeks to remedy that by taking a clinician’s perspective on the implementation of AI into the clinical decision making workflow.Evaluate…
What is FHIR? The HL7® FHIR® (Fast Healthcare Interoperability Resources) standard is the accepted standard for exchanging healthcare information, regardless of how or where the information is stored. By enabling secure access to both clinical and administrative data, FHIR ensures that healthcare providers can access the information they need to deliver optimal patient care. Developed…