December 28, 2017
Curbs on physician self-referrals in Medicare may have made sense in a fee-for-service environment, but they present significant barriers to payment reform as the nation moves to value-based models.
December 28, 2017
Adapting payment models to reward outcomes is key to making lifestyle change fit into a managed care framework, several articles find.
December 06, 2017
Donald M. Berwick, MD, MPP, FRCP, and Patricia Salber, MD, MBA, discuss the idea of a single-payer system and misconceptions about the concept, and what individual states are doing.
November 09, 2017
Suzanne Delbanco, PhD, MPH, of Catalyst for Payment Reform, and Patricia Salber, MD, MBA, of The Doctor Weighs In, discuss payment reform in the healthcare industry, including quality measurements and accountable care organizations.
November 02, 2017
New Jersey is 1 of 3 states that will test a new set of metrics to assess how well new payment models have penetrated markets, explained Linda Schwimmer, JD, president and CEO of the New Jersey Health Care Quality Institute, which will lead the process in New Jersey.
November 01, 2017
During the final panel at the fall meeting of the ACO & Emerging Healthcare Delivery Coalition® in Nashville, Tennessee, panelists discussed the progress specialties have made in moving to value-based payment models, as well as the challenges facing the industry as a whole. The panel consisted of 3 individuals who provided perspectives from specific specialties, and 1 with an overall policy perspective.
October 31, 2017
Most practices are not ready to transition to the Medicare Access and CHIP Reauthorization Act (MACRA) payment models, although there is a leading group of practices that are more prepared to make the switch, said Aaron Lyss, director of value-based care for Tennessee Oncology.
October 24, 2017
Authors of survey results and a commentary say it's time to focus on recommendations that can bring clinically meaningful change and cost savings.