Clinical integration emerged as a healthcare-delivery strategy in the late 1990s, when the Federal Trade Commission and the Department of Justice put forth guidelines to ensure that healthcare systems, hospitals, and physicians that were affiliated in larger structures could do so in ways that would serve the public interest and not be anti-competitive. The primary ...Read More
Financial challenges again rank No. 1 on the list of hospital CEOs’ top concerns, according to the American College of Healthcare Executives’ annual survey of top issues confronting hospitals. In addition, Moody’s recently confirmed its negative outlook for nonprofit hospitals, citing weak volume, reimbursement constriction, and increased numbers of Medicare patients. Financial issues are especially ...Read More
With recent changes to the Medicare Shared Savings Program (MSSP), all accountable care organizations (ACOs) need to pay closer attention to their compliance obligations and be prepared to make changes quickly. Each time the Centers for Medicare and Medicaid Services (CMS) updates its MSSP rules, as it did in 2016, it frequently follows these changes ...Read More
Recently, several clients who are working to improve value-based contracts have asked, “How do we better engage specialists in the reduction of total cost of care and improve access and outcomes for our members?” Nationally, the total cost of care increased 4.3 percent in 2016, and, according to CMS, is expected to increase at a ...Read More
Join us for an investigation into how to make hierarchical condition codes (HCC) work for you and your clinical teammates. Lucy Zielinski, managing partner for Lumina Health Partners, will share her insights into HCC at 12:15 p.m. CDT. Members of IAFP can register here.
There should be no question in anyone’s mind that healthcare payments are evolving from fee-for-service to fee-for-value. The Centers for Medicare and Medicaid Services (CMS) recently issued proposed changes to the Medicare Shared Savings Program (MSSP), and the U.S. Department of Health and Human Services (HHS) has announced new efforts regarding mandatory payment models that ...Read More