Value-based care and reimbursement
The healthcare industry is transitioning from the traditional fee-for-service system to reimbursement structures that tie payment to quality and cost of care. Value-based care and reimbursement aim to improve patient outcomes and reduce healthcare spending while improving the experience for patients and clinicians.
Top Stories
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23 Jan 2025
As Medicare ACOs grow, key model improvements emerge
Medicare ACO models drive value-based care growth, improving cost, quality and relationships, but face challenges in benchmarking and payments, needing innovation and flexibility. Continue Reading
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25 Nov 2024
Collaboration key to using data standards for value-based care
Panelists at Xtelligent Healthcare's Payer + Provider Summit discussed the promise and challenges of using data standards for value-based care. Continue Reading
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News
25 Jun 2018
How Addressing Social Determinants of Health Cuts Healthcare Costs
Nutrition programs, housing initiatives, and ridesharing partnerships are some of the ways providers are reducing healthcare costs by addressing social determinants of health. Continue Reading
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News
05 Mar 2018
72% of Medical Groups Oppose Mandatory Alternative Payment Models
Medical groups cited a lack of evidence, diversity among practices, and a negative impact on practice innovation as reasons for opposing mandatory alternative payment models. Continue Reading
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News
08 Jan 2018
3 Strategies to Reduce Hospital Readmission Rates, Costs
Identifying causes, enhancing transitional care, and engaging patients are three ways that hospitals can reduce hospital readmission rates and avoid penalties. Continue Reading
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10 Aug 2017
Physician Expert, Clinical Documentation Key to MIPS Success
An industry expert advised practices to develop physician-led MACRA implementation teams that emphasize clinical documentation improvements for MIPS success. Continue Reading
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24 Mar 2017
Best Practices for Value-Based Purchasing Implementation
To implement value-based purchasing, healthcare organizations should ensure their staff have the right tools to manage alternative payment models. Continue Reading
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28 Feb 2017
CMS Calls on Stakeholders for Pediatric APM Development Input
Stakeholders can provide feedback to CMS until March 28 on potential pediatric alternative payment model development for the Medicaid and CHIP populations. Continue Reading
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Feature
20 Jan 2017
Exploring Two-Sided Financial Risk in Alternative Payment Models
Incorporating two-sided financial risk is key to making providers more accountable for their care. What do providers need to know before entering these alternative payment models? Continue Reading
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News
14 Dec 2016
Developing Post-Acute Networks for APM Reimbursement Success
Healthcare organizations should develop narrow post-acute networks of top performing providers to maximize alternative payment model reimbursement, Premier stated. Continue Reading
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18 Aug 2016
How the Affordable Care Act Impacted Healthcare Revenue Cycle
The Affordable Care Act ushered in changes to the healthcare revenue cycle, including more patient financial responsibility and lower reimbursement rates. Continue Reading
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25 Jul 2016
Examining the Role of Financial Risk in Value-Based Care
How does financial risk advance value-based care, and how do providers start to engage with more risk? Continue Reading
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Feature
15 Jul 2016
Preparing the Healthcare Revenue Cycle for Value-Based Care
The transition from fee-for-service to value-based care reimbursement has serious implications for healthcare revenue cycle management. Continue Reading
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News
31 May 2016
5 Ways to Increase Hospital Profitability, Aid Revenue Cycle
Hospitals profitability can be increased by boosting patient satisfaction, reducing readmissions and understanding revenue cycle performance. Continue Reading
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News
19 May 2016
5 Ways to Improve Healthcare Supply Chain Management
Healthcare supply chain management can benefit from using analytics effectively and examining contracts and inventory levels carefully. Continue Reading
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Feature
20 Apr 2016
Using Revenue Cycle Analytics for Effective Value-Based Care
The transition to value-based care requires a familiarity with revenue cycle analytics and population health management techniques. Continue Reading