CMS cracks down on outpatient payments to hospital-run centers, removes pain management from value-based purchasing Proposal would eliminate any potential financial pressure clinicians may feel to ...

Primary care physicians are often called the quarterbacks of healthcare because they coordinate and direct patients’ journeys through the medical system. On a typical NFL team, the quarterback is the ...

Understanding the needs of high-need, high-cost community-based beneficiaries, including homebound status, will help Medicare ...

As federal and commercial payers expand bundled and risk-based payment models, orthopedic practices are adapting to new expectations around cost, quality and care coordination. Orthopedics has long ...

In the world of Medicare Advantage, a disturbing shift is occurring. What began as a noble push toward value-based care has increasingly morphed into an aggressive pursuit of value-based payment ...

There is no doubt that the government is accelerating its shift to value-based payments, where physicians are rewarded — to an increasing extent — for quality, rather than quantity of care. And it’s ...

This article is the latest in the Health Affairs Forefront featured topic Accountable Care for Population Health, featuring analysis and discussion of how to understand, design, support, and measure ...

On Jan. 1, CMS will begin implementation of a new alternative payment system for select hospitals. The Transforming Episode Accountability Model will hold participating hospitals responsible for the ...

CMS posted its fact sheet for the Value-Based Payment Modifier Program for 2016. The value modifier was applied to physician payments beginning January 2015 under the Medicare Physician Fee Schedule ...

Institutional Special Needs Plans could be the tool nursing homes need to find better clinical and financial success and help the government achieve its goals of reducing costs and improving quality, ...