The report provides valuable insights into its value-based care (VBC) programs. It also highlights comparative outcome, quality and patient satisfaction data between its VBC and fee for service beneficiaries – both in population health and bundled payment...
Legal disputes over the results of commercial value-based care (VBC) contracts are mounting. Groups should immediately rethink their strategy to accept the “built in” stop loss from payors. Here’s why: 1..Negotiation Most groups in VBC programs with commercial...
In an important letter for value-based care (VBC) participants, Centers for Medicare & Medicaid Services (CMS) is asked to confirm that reimbursed expenditures are properly accounted for. Click here to read the letter. Visit our Advisory Board page for more...
In a major victory for the independent practice of medicine and the value-based care movement, a lawsuit brought by The American Hospital Association (AHA) against The US Dept. of HHS* was dismissed on summary judgment. The US District Court of DC upheld the mandate...
Value-Based Healthcare: Four Elements for Success As it exists under the current fee-for-service (FFS) paradigm, US Healthcare is unaffordable, untenable and unsustainable. It is crucial that the prevailing framework evolve with value-based care (VBC) models, which...
Brian S. Kern, Esq. In 2019, the US spent $3.8 Trillion on healthcare. At 18% of GDP, this figure is neither affordable nor sustainable. Efforts by the federal government to rein in healthcare spending have been met with fierce resistance from corporate interest...
If there was any question that US Healthcare’s transition from fee-for-service to value-based would continue under the Trump Administration, the US Department of Health and Human Services’ (HHS) report, “Reforming America’s Healthcare System Through Choice and...
According to the National Investment Center for Seniors Housing and Care, almost one in five nursing home beds are unoccupied. Occupancy – once as high as 87 percent in 2011 – is down to 81.7 percent. Several factors related to skilled nursing facility (SNF)...
In July, the OIG issued a report entitled, “Vulnerabilities in the Medicare Hospice Program Affect Quality Care and Program Integrity.” Fifteen recommendations were made by the OIG to CMS, including to “Assess the current payment system to determine what changes may...
