This article describes evolving reimbursement methodologies and expresses why oncology practices need to position themselves for these new payment arrangements.
ECG has identified four critical steps to successfully make the shift to population health management (PHM): provider network development, clinical integration, advanced informatics, and risk-based contracting. This article details how each of these steps can usher your organization down the path to PHM.
As the movement toward value-based arrangements accelerates, healthcare organizations and payors are exploring innovative reimbursement models and incentive structures.
As the Centers for Medicare & Medicaid Services (CMS) focuses on alternative payment models and the reduction of hospital utilization, orthopedics has begun to experience declines from historical reimbursement levels.
This article addresses the potential redesign of the clinical process to better ensure your organization’s full funding in light of Stage 2 of Meaningful Use.
Providers who have attested to receive an EHR incentive payment from either the Medicare or Medicaid incentive programs are subject to audits performed by CMS or the state Medicaid agency. This article seeks to establish accurate expectations for the meaningful use audit process and outlines the best practices for successful preparation.
Improving health outcomes while simultaneously reducing costs is the primary focus of U.S. healthcare reform efforts.
While policy makers struggle with health reform initiatives, there is agreement on one basic point: the trends in healthcare costs are unsustainable.This article provides an overview of trends in Medicare payments for selected services and the differences in payment levels when those services are provided in a physician’s office as compared to a hospital outpatient setting.
Your organization can successfully integrate health exchange-based patients into your managed care contracts through focused preparation and planning. This article explores the key issues an organization should consider when integrating health exchange-based patients into managed care contracts.
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