Submitting data to CMS is one of those tasks that sounds straightforward until you realize how many moving parts are involved. A missed measure, an incomplete record, or a data entry mistake can drag down your MIPS score and leave money on the table. The good news is that a solid internal audit can catch…
Physicians told Becker’s that the next major shift in medicine won’t be a new device or breakthrough drug, but the accelerating shift from fee-for-service to value-based purchasing. Cost pressures, patient frustration and employer fatigue are converging in ways that may force a structural reset in how physicians practice and get paid, several said. Steven Rich, MD, a…
Making any additions or changes to your organization requires a lot of very careful planning and observation. While these additions/changes can be a huge benefit, opening up your organization to implement them can also cause a lot of problems. It can introduce new weak points for cybercriminals, it can cause friction with your existing systems,…
Download Slides Staffing your care gap closure efforts can be extremely difficult. This is due to the massive staffing shortage in healthcare today, tighter budgets, and a lack of management capacity. We discovered a novel workforce that is cost effective, large in size, and excited to start contributing to the healthcare system today! In…
Download slides Staffing your care gap closure efforts can be extremely difficult. This is due to the massive staffing shortage in healthcare today, tighter budgets, and a lack of management capacity. We discovered a novel workforce that is cost effective, large in size, and excited to start contributing to the healthcare system today! In…
Value-based care represents one of health care’s most important transformations, driving hospitals and health systems to focus on outcomes that truly matter. To succeed in this model, organizations must track and improve their performance metrics continuously, making data health care’s most valuable currency. It is the foundation for improving patient care, reducing complications, and optimizing…
Value-based care continues to account for a substantial share of U.S. healthcare payments, underscoring sustained payer investment in payment models that link reimbursement to quality and cost outcomes. The findings come from a survey released by AHIP in collaboration with the Centers for Medicare and Medicaid Services. Danielle Lloyd, M.P.H., AHIP’s senior vice president of private market…
The CMS TEAM payment model focuses on the patient surgery and recovery process, which puts hospitals at risk for both cost and quality of surgeries. The end result of TEAM, if implemented well by hospitals and clinicians, is benefits for patients, with more coordination of services and fewer complications. The American College of Surgeons supports…
CMS released participation data Feb. 4 for Medicare accountable care organizations in 2026, showing continued growth in enrollment and a record number of beneficiaries served by the Shared Savings Program. Six things to know: An estimated 14.3 million Medicare beneficiaries are receiving care coordinated by ACOs as of January 2026, up from 13.7 million in 2025, a…
The Centers for Medicare & Medicaid Services (CMS) is moving steadily toward the use of FHIR-based digital quality measures (dQMs). CMS believes dQMs will enable a more dynamic, interoperable, and comprehensive approach to quality measurement than the electronic clinical quality measures (eCQMs) currently in use. As it seeks public feedback on draft dQM packages, CMS officials held…