3 details for healthcare providers to know before taking on risk
Providers looking to take on downside ACO risk need to first understand three determinants of success.
Understanding the unique demands of ambulatory care settings
Successful ambulatory care transitions require a focus on consumer-centric needs and a strong investment strategy, according to a workshop presented at HFMA’s 2019 Annual Conference.
Little progress seen in mitigating prior-authorization challenges
Prior-authorization challenges appear to be worsening for providers, despite a 2018 payer-provider effort to address such problems.
What’s the blueprint for taking on risk?
Providers and health plans need to collaborate — both in the planning and execution of risk-based contracts — in order to make them work.
Providers press CMS for details amid lingering uncertainty about new primary care models
The possibility of conflicts between Medicare payment models joined the customary concern about benchmarking details in provider feedback on coming primary care models, an administration official said.
CMS identifies keys to success in bundled payment as BPCI-A deadline looms
Ahead of next week’s deadline for providers to join the largest voluntary bundled payment program, the agency in charge of the program identified lessons learned from successful participants.
Four key takeaways from Congress’s latest single-payer hearing
Although the first hearing by a healthcare committee on recent coverage expansion proposals was supposed to encompass a range of Democratic bills, national single-payer proposals garnered almost all the attention.
Providers push arbitration approaches used in some state surprise-bill laws
What should Congress learn from states’ experiences with laws attempting to curtail surprise healthcare bills?
Medicare Advantage plans accelerating their move into SDOH, advocate says
Medicare health plans have increasing authority to grapple with the social determinants of health, and more are pursuing such initiatives.
Timing, details unclear for executive order on price transparency
An expected executive order on healthcare price transparency continues to change, even as its release has been delayed, say policy watchers.