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Beyond ‘Repeal and Replace’: Physicians Renew The Call For Delivery System Improvement
Growth Of ACOs And Alternative Payment Models In 2017
Savings Reported By CMS Do Not Measure True ACO Savings
Diffusion Of Innovations In Health Care—Obtaining Evidence To Move Faster
The Future Of Delivery System Reform
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Yale Health Care Industry Symposium
Paying Providers For Value: The Path Forward
The release of the Alternative Payment Model (APM) Framework White Paper earlier this week is an important milestone in the progress of the Health Care Payment Learning & Action Network (LAN) toward its goal: driving new and innovative health care...
Published
Thu, Jan 01 2016 12:54 PM
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Health Affairs Blog
Filed under:
Public Health
,
Quality
,
Population Health
,
Featured
,
Payment Policy
,
Costs and Spending
,
Health Professionals
,
ACOs
,
patient-centered medical homes
,
Alternative Payment Models
,
patient-centered care
Are Provider-Led Health Care Networks Too Big To Fail?
Are provider-led health care networks equipped to function like insurance companies? Do they have the expertise and experience to assess population health risks and costs and to accurately price health insurance products? The answer is no, and the current...
Published
Tue, Jan 01 2016 10:45 AM
by
Health Affairs Blog
Filed under:
Physicians
,
Hospitals
,
Population Health
,
Featured
,
Payment Policy
,
Insurance and Coverage
,
Costs and Spending
,
ACOs
,
physician perspective
Making Sense Of Price And Quantity Variations In U.S. Health Care
A recent study by Zack Cooper, Stuart Craig, Martin Gaynor, and John Van Reenen has documented the remarkable variations across regions and age groups, and within regions, in U.S. health care spending. Previously, the Dartmouth Atlas project studied variations...
Published
Wed, Dec 12 2015 9:23 AM
by
Health Affairs Blog
Filed under:
Medicare
,
Hospitals
,
Featured
,
Payment Policy
,
Insurance and Coverage
,
Organization and Delivery
,
Costs and Spending
,
Equity and Disparities
,
Health Professionals
,
ACOs
,
Dartmouth
Synchronizing Medicare Advantage And ACOs To Support The Secretary’s Quality And Value Payment Goals
In January 2015, Department of Health and Human Services Secretary Sylvia Burwell announced the Department will tie an increasing percentage of Medicare reimbursement to quality or value. While unanticipated, the announcement was not surprising, since...
Published
Mon, Dec 12 2015 8:45 AM
by
Health Affairs Blog
Filed under:
Medicare
,
Hospitals
,
Population Health
,
Featured
,
Payment Policy
,
Organization and Delivery
,
Costs and Spending
,
ACOs
,
value based care
,
fee-for-service
,
Medicare Advantage
,
Catalyst for Payment Reform
,
MACRA
,
Alternative Payment Models
Diving Into The Pool Of ACO Quality Measures: MSSP Year 2 Performance Metrics
The Centers for Medicare and Medicaid (CMS) released the second year of quality performance measures in August 2015. CMS provided data on each of the 33 quality measures and two composite scores for 333 Medicare Shared Savings Program (MSSP) Accountable...
Published
Mon, Dec 12 2015 8:50 AM
by
Health Affairs Blog
Filed under:
Physicians
,
Quality
,
Hospitals
,
Population Health
,
Featured
,
Payment Policy
,
Costs and Spending
,
Health Professionals
,
ACOs
,
Medicare Shared Savings Program
,
benchmarks
,
doctor patient relationship
2014 National Health Spending: The Great Moderation Likely Is Not Over
Two weeks ago, the Office of the Actuary at the Centers for Medicare and Medicaid Services (CMS) released their 2014 US health spending estimate showing the highest national health spending growth rate since 2008 — 5.3 percent. The question on everyone...
Published
Mon, Dec 12 2015 10:36 AM
by
Health Affairs Blog
Filed under:
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,
Payment Policy
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Following the ACA
,
Insurance and Coverage
,
Costs and Spending
,
Medicaid and CHIP
,
Drugs and Medical Technology
,
Accountable Care Organizations
,
ACA
,
ACOs
,
hepatitis C
,
CMS
,
Sovaldi
,
national health spending
Taking Stock Of Choosing Wisely
Since its launch in 2012, the ABIM Foundation’s Choosing Wisely campaign has helped create conversations among clinicians and patients—both in the U.S. and abroad—about unnecessary care, particularly where significant risks of a test or treatment...
Published
Thu, Dec 12 2015 9:23 AM
by
Health Affairs Blog
Filed under:
Quality
,
Featured
,
Payment Policy
,
Costs and Spending
,
Equity and Disparities
,
ACOs
,
Choosing Wisely
,
unnecessary tests
,
medical waste
Medicare ACOs Continue To Show Care Improvements — And More Savings Are Possible
On August 25, the Centers for Medicare and Medicaid Services (CMS) released financial and quality performance data for its accountable care organization (ACO) programs, including results from the third performance year (PY3) of the Pioneer ACO Program...
Published
Wed, Nov 11 2015 11:02 AM
by
Health Affairs Blog
Filed under:
Medicare
,
Quality
,
Hospitals
,
Population Health
,
Featured
,
Payment Policy
,
Insurance and Coverage
,
Organization and Delivery
,
Costs and Spending
,
ACOs
,
fee-for-service
,
MSSP
,
Pioneer ACOs
,
Medicare Shared Savings Program
,
benchmarks
,
upside risk
,
two-sided risk
,
downside risk
Creating The Next Generation: The Payment Model We Need From Medicare
Four years of nation-wide testing by The Centers for Medicare and Medicaid Services (CMS) has now proven that the current shared savings payment models do not work effectively for low-cost Accountable Care Organizations (ACOs). High-cost ACOs have more...
Published
Mon, Oct 10 2015 8:32 AM
by
Health Affairs Blog
Filed under:
Quality
,
Hospitals
,
Population Health
,
Featured
,
Insurance and Coverage
,
Costs and Spending
,
Equity and Disparities
,
Long-term Services and Supports
,
ACOs
,
CMS
,
payment schemes
,
risk-adjusted payment
,
Bellin-Thedacare HealthPartners
,
global payment
MSSP Year Two: Medicare ACOs Show Muted Success
On August 25, the Centers for Medicare & Medicaid Services (CMS) announced Performance Year Two (PY2) results for the Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs). (CMS also announced results for the Pioneer ACO demonstration...
Published
Thu, Sep 09 2015 9:23 AM
by
Health Affairs Blog
Filed under:
Medicare
,
Quality
,
Hospitals
,
Population Health
,
Featured
,
Health Policy Lab
,
Payment Policy
,
Insurance and Coverage
,
Organization and Delivery
,
Costs and Spending
,
Health Professionals
,
ACOs
,
fee-for-service
,
benchmarking
,
ACO Pioneer program
,
Medicare Shared Savings
Physician Payment Reform In A Post-SGR World: Challenges Remain
On April 16, 2015 President Barack Obama signed the Medicare Access and CHIP Reauthorization Act ( MACRA ) which, among other things, finally repeals the Sustainable Growth Rate (SGR) mechanism of updating fees to the Physician Fee Schedule (PFS). The...
Published
Thu, Sep 09 2015 1:20 PM
by
Health Affairs Blog
Filed under:
Physicians
,
Medicare
,
Featured
,
Payment Policy
,
SGR
,
Costs and Spending
,
Payment Reform
,
Health Professionals
,
ACOs
,
pay-for-performance
,
fee-for-service
,
patient-centered medical homes
,
MACRA
,
Alternative Payment
,
Burnout
,
Bundled Payments
‘Innovate Or Die?’ Mission-Driven Home Health Providers Choose The Former
Home health providers are ready, willing, and able to build the skills and infrastructure necessary to succeed in a value-based purchasing environment. Mr. Marchica should be applauded for his recent post on this Blog that highlights the need for innovation...
Published
Thu, Sep 09 2015 6:01 AM
by
Health Affairs Blog
Filed under:
Medicare
,
Quality
,
Nurses
,
Insurance and Coverage
,
Organization and Delivery
,
Costs and Spending
,
Medicaid and CHIP
,
Equity and Disparities
,
Long-term Services and Supports
,
Home Health
,
ACOs
,
value based care
,
Advanced Home Care
How PAs Factor Into Improved CMS Patient Satisfaction Scores
When I started work as a certified physician assistant (PA-C) 30 years ago, I provided health care for the homeless as the medical officer for an outreach mobile health team in Brooklyn, N.Y. I literally treated patients on the street, and patient satisfaction...
Published
Wed, Sep 09 2015 11:05 AM
by
Health Affairs Blog
Filed under:
Quality
,
Hospitals
,
Featured
,
Organization and Delivery
,
Equity and Disparities
,
Health Professionals
,
ACOs
,
physician assistants
,
patient satisfaction
,
HCAHPS
,
CAHPS
Community Health Center Strategies For Pursuing Accountable Care
Accountable care strategies are spreading from Medicare and commercial insurance arenas to Medicaid programs, thus extending the benefits of payment and delivery reform to the safety net. Medicaid Accountable Care Organizations (ACOs) are now emerging...
Published
Wed, Sep 09 2015 9:07 AM
by
Health Affairs Blog
Filed under:
Medicare
,
Quality
,
Hospitals
,
Innovations in Care Delivery
,
Population Health
,
Community Health Centers
,
Organization and Delivery
,
Costs and Spending
,
Medicaid and CHIP
,
Equity and Disparities
,
SDH
,
ACOs
,
Safety Net
,
CMS
,
Boston
,
Urban Health
Avoiding Expensive And Consequential Health Care Decisions Based On Weak Research Designs
Long before Congress created the Health Information Technology for Economic and Clinical Health (HITECH) Act, giving $32 billion to health care providers to transfer to Electronic Health Records (EHR) vendors, plans for that windfall were created by an...
Published
Mon, Aug 08 2015 7:25 AM
by
Health Affairs Blog
Filed under:
Health IT
,
Quality
,
Technology
,
Research
,
Featured
,
Costs and Spending
,
Drugs and Medical Technology
,
Long-term Services and Supports
,
ONC
,
ACOs
,
CDC
,
HITECH Act
,
methods
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