Amid healthcare’s continuing transition to value-based care delivery, many health systems are considering the possibility of developing bundled payment programs for single episodes of care. But which service is best to bundle?
The CCJR program proposed by CMS in July 2015 is accelerating the pace of payment reform, and it’s ramping up pressure on hospitals to effectively manage patients and monitor costs for joint replacements. This post spells out the program structure and physician relationship parameters.
Last week CMS proposed a Comprehensive Care for Joint Replacement model, scheduled to begin as early as next year. Is your hospital prepared to bear financial risk among your Medicare patient population for total joint replacement surgery?
To thrive in the era of health reform, organizations must do more than simply react to the changing environment. ECG's Terri Welter explains how responsive organizations are proactively designing and executing near- and long-term positioning strategies.
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.
Healthcare reform and evolving reimbursement models are transforming the way care is and will be delivered and paid for. Here are some prominent trends we are observing.
Changing the selection process for healthcare services to be more like retail is already expanding how and where healthcare services are delivered.
A popular adage dictates that if something isn’t broken, you shouldn’t try to fix it. Chances are, no one has ever said that about the meaningful use program.
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.
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