Accountable care organizations (ACOs) that started in 2012 – the first year of the Medicare Shared Savings Program (MSSP) – decreased their post-acute care spending by a 9 percent differential reduction in two years without compromising care quality. In dollars, that 9 percent comes to $106 per beneficiary. That’s the finding of a recent JAMA Internal […]Read More
UnitedHealthcare, Seeing Success, Increases Commitment to Value-Based Care Programs
UnitedHealthcare, the nation’s largest private payer, is increasing its commitment to value-based care models. In the last three years, the amount of UnitedHealthcare’s care-provider reimbursements tied to value-based care programs has nearly tripled to $64 billion annually. By the close of 2020, that number is expected to reach $75 billion. Nearly one in every three […]Read More
Can CMS’s New Advanced Payment Bundles Save Healthcare?
The Centers for Medicare & Medicaid Services (CMS) recently launched its newest bundled payment model, the voluntary Bundled Payments for Care Improvement (BPCI) Advanced, and they are doing something unique in the healthcare industry – pleasing both clinicians and management. “Volunteer bundles are a very attractive proposition for providers and health systems to generate outside […]Read More
CMS’s Proposed New Direction is a Great Opportunity for Healthcare Providers
Voluntary Bundles Are Going to Be One Of Many Valuable Tools With all the rhetoric in Congress about repealing and replacing The Affordable Care Act, it can often get lost in the shuffle that leadership remains committed to value-based care. For example, while mandatory healthcare bundles seem to be dead – healthcare professionals are actively […]Read More
MACRA’s Goal is to Make Lives Better, So Why are Physicians so Worried?
MACRA is coming. The Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law on April 16, 2015. It’s a pay-for-performance program that focuses on quality, value, and accountability by rewarding healthcare providers for improving their patient’s overall health. Health and Human Services has stated that its goal is to tie 90 percent of […]Read More