Stakeholders Seek to Drive Near 100% of Medicare Reimbursements to Value-Based Contracts by 2025

November 23, 2021Garrett SchmittNo Commentsalternative payment models, APMs, COVID-19, Medicare, Medicare reimbursements, value-based care, value-based contracts, value-based reimbursement, vbc

The U.S. federal deficit is the highest it has ever been. Healthcare makes up the largest portion of that deficit and the COVID-19 pandemic continues to amplify the issue. Over the past few years, the Centers for Medicare and Medicaid Services (CMS) has lead the charge towards value-based contracting, which “encourages providers to deliver the…

Health Systems Set Sights on Risk-Based Payment in Medicare Advantage

November 17, 2021Garrett SchmittNo Commentsalternative payment models, APMs, health systems, Healthcare Financial Management Association, HFMA, Medicare, Medicare Advantage, risk-based payment, value-based APMs, value-based reimbursement

Health systems are planning to advance their risk-based payment strategies by taking on more upside or downside risk, professional capitation, or global capitation in Medicare Advantage lines of business in 2022, according to a recent survey. The executive survey conducted by the Healthcare Financial Management Association (HFMA) for the Guidehouse Center for Health Insights found that…

The Fear of Value-Based Reimbursement

September 8, 2021Garrett SchmittNo Commentsrisk-based, value-based, value-based care, value-based reimbursement, vbc

“All in.” “Bet on the future.” “Go big or go home.” “No guts, no glory.” “Nothing ventured, nothing gained.” None of those forward-looking, motivational words of encouragement describe how most healthcare providers feel about value-based reimbursement. A better word would be “fear.” That’s my read of the latest population health survey by Numerof & Associates…

Healthcare Payment Reform is Critical to Improving Primary Care

May 18, 2021Garrett SchmittNo CommentsPayers, payment reform, PCPs, Primary Care, value-based care, value-based payment, value-based reimbursement, vbc

High-quality primary care implementation requires significant healthcare payment reform, expanded telehealth capabilities, and team-based care, according to a recent report from the National Academies of Sciences, Engineering, and Medicine.   According to the report, 85 deaths per day are associated with the declining workforce in primary care. Compensation in primary care is typically lower than that of specialty…

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