New & Notable
C-suite expects value-based care participation to heat up
Hospital and health system executives are investing more in value-based care models, including ACOs and bundled payments, compared to two years ago.
More primary care practices ditch insurance for direct care
A study reveals an increasing number of practices and clinicians transitioning to concierge and direct primary care models in a move that cuts medical billing's administrative burden.
CMS releases new payment model to support lifestyle medicine
The MAHA ELEVATE model will provide $100M to as many as 30 proposals that incorporate functional and lifestyle medicine for chronic disease management and prevention.
Financial risk, perseverance pays off for Medicare ACOs
New data show that higher levels of financial risk and time spent in the Medicare Shared Savings Program result in stronger outcomes for ACOs.
Sponsored Sites
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Autonomous Coding
Solventum
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Healthcare
Huron
Change is constant in healthcare, and its speed is accelerating. Huron works with healthcare organizations every day to strengthen and innovate their businesses and build more resilient operations to thrive now and in the future.
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Revenue Cycle Management
Brault
Brault is a revenue cycle and practice management organization that partners with hospitals and independent physician groups. Their intelligent practice solutions include coding and billing, MIPS optimization, provider documentation training, and practice management.
Healthcare Strategies: A Podcast
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A podcast for healthcare professionals seeking solutions to today's and tomorrow's top challenges. Hosted by the editors of Xtelligent Healthcare Media, this podcast series focuses on real-world use cases that are leading to tangible improvements in care quality, outcomes, and cost.
Guests from leading provider, payer, government, and other organizations share their approaches to transforming healthcare in a meaningful and lasting way.
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Latest News
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C-suite expects value-based care participation to heat up
Hospital and health system executives are investing more in value-based care models, including ACOs and bundled payments, compared to two years ago.
-
More primary care practices ditch insurance for direct care
A study reveals an increasing number of practices and clinicians transitioning to concierge and direct primary care models in a move that cuts medical billing's administrative burden.
-
CMS releases new payment model to support lifestyle medicine
The MAHA ELEVATE model will provide $100M to as many as 30 proposals that incorporate functional and lifestyle medicine for chronic disease management and prevention.
-
Financial risk, perseverance pays off for Medicare ACOs
New data show that higher levels of financial risk and time spent in the Medicare Shared Savings Program result in stronger outcomes for ACOs.
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Providers warn of the risk skin substitutes pose to ACOs
Provider groups are worried ACOs will suffer from the recent spike in skin substitute spending, raising concerns about the broader impact fraud, waste and abuse has on value-based care.
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New value-based payment model aims to boost tech use
A new payment model from the CMS Innovation Center will use fixed, value-based payments to support technology-supported care for chronic disease management.
Features
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Meet the 6 vendors participating in the CMS WISeR Model
The vendors selected to lead a new CMS model will apply their technologies leveraging AI to streamline the Medicare prior authorization process in six states.
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ACA enhanced tax credit fight exposes healthcare's funding crisis
Enhanced premium tax credits are at the center of the latest government shutdown, creating concerns for providers and exposing a history of patchwork solutions for a cracked system.
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Provider pay caught in the middle during government shutdown
The ongoing government shutdown will impact Medicare reimbursement, particularly for telehealth services, putting revenue cycle teams in a tight spot.
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Athenahealth revamps revenue cycle management in the era of AI
Athenahealth is adding AI features to its practice and revenue cycle management capabilities, at no additional cost, as the health IT company leans toward becoming AI native.