Faced with the dramatic escalation of healthcare costs, providers, commercial payors, and the government are testing different methodologies for reimbursing cancer care. This article by Jessica Turgon explores emerging reimbursement methodologies for cancer care and why oncology practices need to be responsive, rather than resistant, to these new payment arrangements.
Most physician compensation plans are based on external market data, which may have no relation to the financial position of a given organization. As a result, health systems are spending more on their employed physician practices than they can afford.
To help our clients navigate the transition from volume to value, ECG created a framework based on five foundational attributes that will characterize the successful value-based enterprise.
Learn how to better manage costs of care through effective physician network design and care delivery.
Making sure provider compensation doesn’t bankrupt your organization.
Revenue cycle performance is a strategic differentiator for organizations because it funds important functions and goals, including provider compensation and growth. With that in mind, creating a well-functioning revenue cycle requires organizations to focus on the three Ps: people, process, and platform.
While orthopedic providers continue to navigate this new environment, the following outpatient trends are expected to continue taking shape in 2015.
The Oncology Care Model (OCM) is aimed at physician practices that administer chemotherapy and bill for services under the Medicare Physician Fee Schedule. The OCM is built upon new reimbursement structures for services provided to cancer patients within episodes of care.
Recently the U.S. Department of Health & Human Services (HHS) outlined ambitious goals to significantly increase the percentage of Medicare payments that are tied to quality and cost effectiveness over the next several years.
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