Direct contracting creates the seismic change to level the playing field for small and large organizations, tests risk-sharing payments, creates a playground to test payments that operated in silos, and creates greater financial alignment.
The Merit-based Incentive Payment System (MIPS) is one of two tracks under the Quality Payment Program, which moves Medicare Part B providers to a performance-based payment system.
Physicians are thinking more seriously about how to succeed in the MIPS Cost category. Consider these 5 ways to help physicians reduce costs in healthcare.
Market readiness is the theme for this year’s outlook. The talk of transformation has traction. Too many disruptors are in the healthcare market pushing out traditional models of care. Until you see the information gathered in one document, it may seem transformation is still a while away. Our study of trends and market signals indicate otherwise.
Now is the time for all home care providers to review agreements and their practices with regard to payments to referring physicians.
Physical therapists once in such high-demand are facing massive layoffs across the industry because of reimbursement changes to skilled nursing facilities .
Chronic Care Management Payments Expand Under The Final 2020 Physician Fee Schedule Quality Payment Program
CMS is increasing payment for transitional care management services provided after discharge from an inpatient stay or certain outpatient stays.
FREE ARTICLE: What post-acute care providers need to know about a new rule that includes updated payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule.
The new rules will give providers in value-based arrangements greater certainty and ease the compliance burden for providers across the industry.
The proposed rules recognize that incentives are different in a healthcare system that pays for value rather than the volume of services provided.
Through initiatives that change how heathcare is delivered and physicians are paid, CMS is driving toward the goals of improving quality and reducing costs.
MACRA is a law that builds a new, fast-speed highway to take the healthcare system away from fee-for-service and toward coordinated care models.
CMS published a rule on Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APM) incentives under MACRA.
CMS released the first major regulation under MACRA. For now, only physician offices – not hospitals – are governed by MACRA rules.
Physician and post-acute providers can partner together to provide chronic care management through annual wellness programs visits.
In this interview with Dr. Brian Amdahl, we ask questions related to post-acute’s value, payment reform and the challenges ahead.
House calls markedly improve the quality of life of home-limited patients and their caregivers while dramatically reducing healthcare costs.
The top six types of providers who provided home-based medical care (non-podiatry) in both 2012 and 2013 accounted for two-thirds of the providers.
This document answers frequently asked questions about billing chronic care management (CCM) services to the Physician Fee Schedule.
The Stark Law is a set of U.S. federal laws that prohibit physician self-referral, specifically a referral by a physician of a Medicare or Medicaid patient.
The program at Washington Hospital Center has lowered total costs of care and has reduced average inpatient length of stay from 8 to 6 days.
Key takeaways from the perspective of primary care office help stakeholders to better understand care management population health models.
CPC+ is a national advanced primary care medical home model that aims to strengthen primary care through a regionally-based multi-payer payment reform.
Care management is a key component of policy development, future legislation and new regulations. How is this changing the future of healthcare?
Patients sent home after knee and hip replacements do not have higher rates of medical complications, returns to the hospital or E.R. visits
This issue of FutureFocus highlights the innovation of an in-home, physician-led model working collaboratively with a payer to manage complex care.
In this issue of FutureFocus, we offer up 10 ways to identify future partnerships between physicians and the home care industry.
The new Primary Cares Initiative that will transform care and payment for complex, high-need patients who are able to stay healthy in their own homes.