Value-Based Care

While some patients and physicians are not aware of the costs of care, others are concerned about whether they can afford treatment options at all. Dr Miller describes some of the major steps to the incremental benefits and incremental costs incurred by new agents.

To improve care, policy analysts and health leaders recommend there be fewer and narrower quality measures.

Implementing the new ICD-10 procedural and diagnostic codes, which the CMS says must happen by Oct. 1, will be more expensive than previously estimated, according to new research. But costs will vary widely depending on practice circumstances.

In response to a request for comment issued by the Centers for Medicare & Medicaid Services on its proposed Quality Strategy, the American Hospital Association is calling for more significant alignment of its quality measurement activities in order to reduce the burden on hospitals and providers.

Current reform efforts seek to tie providers' pay with performance, yet a recent finding suggests that less than 15% of internal medicine residency programs provide education that focuses on such training.

The likelihood of a positive outcome for a patient across the continuum of care is closely tied to the ability of the patient's health information to follow suit.

The technological underpinnings for an accountable care organization (ACO) include all the basic healthcare IT you have heard so much about, including electronic health records (EHRs), electronic medical records (EMRs), and health information exchange (HIE) for transmitting patient data between participating organizations that are not necessarily all on the same EHR.

Steven D. Shapiro, MD, executive vice president, chief medical and science officer, University of Pittsburgh Medical Center (UPMC), says that when improving care, sometimes less is more.

The revision process for ICD-11 is currently underway and the final version will be released in 2017, according to a fact sheet from the World Health Organization.

Peter B. Bach, MD, MAPP, director, Center for Health Policy and Outcomes, and attending physician at Memorial Sloan-Kettering Cancer Center, says accountable care organizations (ACOs) and patient-centered medical homes (PCMHs) may have the potential to drive cost savings, especially in clinical areas such as readmissions.

The Obama administration on Thursday reported what it called encouraging results from efforts to reduce healthcare costs and improve the quality of care for more than 5 million Medicare beneficiaries under Obamacare

The Centers for Medicare & Medicaid Services (CMS) reports that accountable care organizations (ACOs) that participated in its Shared Savings program during 2012 saved $380 million in health spending. However, more than half of the 114 participating organizations did not produce any savings.

The Certification Commission for Health Information Technology is getting out of the business of testing and certifying electronic health-record systems after nearly a decade as the first and still most-commonly used provider of those services in the U.S.

Office visits are likely to decrease as both physician and patient rely more on digital tools, study concludes.

A survey of Medicare ACOs after their first year in operations suggests that all parties, government and private sector health organizations, have improvements to make in the coming years, especially when it comes to sharing data.

Physicians' effective use of electronic health records will play a critical role in the development of payment and delivery reforms, the country's new health information technology (IT) czar said in her first public comments.

There is a radical and bipartisan bill making its way to Congress that could change the future of Medicare.

David Hoyt, MD, FACS, executive director, American College of Surgeons (ACS), says the 4 pillars are based on 100 years of setting standards for healthcare.

COA and ASCO are issuing a joint statement on payment reform in cancer care. The goal is to improve the lives of individuals with cancer, in part by developing and supporting payment systems based on evidence-based medicine and measures of quality and value in cancer care.

While some health systems, hospitals, and physician practices will choose to avoid forming an accountable care organization or adopting any other ACO-like model, they are still likely to face challenges around care coordination and collaboration as a result of consolidation in the healthcare industry.

The state's largest health network and largest health insurer have shown marked reductions or slower growth in the use of services as part of their three-year-old accountable-care organization, an encouraging sign as providers and payers try to reduce the cost of care.

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We continue to see progress in improving the nation's healthcare system, and a key tool to helping achieve that goal is the increased use of electronic health records by the nation's doctors, hospitals, and other healthcare providers.

The combination of electronic medical record data and administrative data provides the fullest picture of patient health histories.

Peter B. Bach, MD, MAPP, director, Center for Health Policy and Outcomes, and attending physician, Memorial Sloan-Kettering Cancer Center, says there are a couple of challenges with the accountable care organization (ACO) and patient centered medical home (PCMH) care models.

State governments have a unique opportunity to transform the current health care system into one that provides higher-quality care at lower costs.

Steven D. Shapiro, MD, executive vice president, chief medical and science officer, University of Pittsburgh Medical Center, says healthcare reform's biggest benefit is that it is leading care from a system that is volume based to one that is value based.

The health IT market is poised for strong growth.