Each year, a growing number of providers are entering value-based care arrangements, including primary care providers (PCPs). Given their holistic view of patients, PCPs are the best types of clinicians to drive value-based care. Medicare’s Primary Care Transformation programs and many payer-developed value-based care contracts are proof of the move for PCPs to be at…
Groups representing doctors, hospitals, and accountable care organizations (ACOs) are pushing back on changes to quality reporting rules for Medicare Shared Savings Program (MSSP) ACOs that were finalized under the Trump administration. “We have significant concerns about the MSSP quality policies finalized at the very end of 2020,” a group of 11 healthcare organizations, including…
As providers and payers invest in the move from volume to value, they are facing the reality that clinicians are lacking when it comes to training, education, and technology specific to enabling value-based care over fee-for-service. In order to succeed in this transition, practicing clinicians and emerging residents need hands-on support and investment to evolve,…
With telehealth use skyrocketing over the past year and a half due to the coronavirus pandemic, some have wondered if there’s a limit to its effectiveness. Is there a certain number of virtual visits that a patient – especially one with a chronic condition – should get, after which the technology outlasts its value? The…
Throughout the Coronavirus pandemic, several innovative data tracking tools have been identified to support population-based public health and individual patient level care management. Some of these are less traditional ways to look at health data, and can usefully inform health planning and system of care design strategies. A curious question is, can we use these…
The success of bundled payments hinges on a variety of factors — some ASC leaders are wary, while others have found success in value-based payments. Four healthcare leaders spoke with Becker’s ASC Review on how value-based care is affecting their practices. John Lewis, CEO of Semmes Murphey, a brain and spine clinic in Memphis, Tenn.,…
Social determinants of health were strongly associated with whether or not an individual with heart disease adopted measures to prevent the spread of COVID-19, according to a study that draws attention to health disparities. The study, presented at the American College of Cardiology’s 70th Annual Scientific Session, is based on a survey that examined COVID-19…
It has been clear for years that social determinants of health (SDOH) – factors such as education, economic and housing stability, community support, and access to transportation – have a disproportionate impact on health outcomes. Research shows that SDOH accounts for up to 80% of health outcomes, while medical care – which costs the U.S….
CMS announced the end of the Web Interface mechanism in the 2021 Final Rule and introduced the new APM Performance Pathway (APP). This means value-based organizations will need to adjust their participation in the Quality Payment Program by 2022. By starting the transition now, you will position your value-based organization for success and avoid…
Patient access is generally the first encounter a patient will have with a healthcare organization, making it central to the patient experience. But this aspect of healthcare is also a major first for another area: revenue cycle management. During the patient access process, revenue cycle teams have their chance to get medical billing and reimbursement…