Solving the GME Planning Puzzle and Aligning Academic Priorities with System Priorities

With MACRA, providers find themselves staring at a fork in the road.

The Bipartisan Budget Act of 2015 will exclude newly acquired, off-campus HOPDs from being reimbursed under Medicare's outpatient hospital prospective payment system.

MACRA represents for Medicare a dramatic step away from traditional fee-for-service reimbursement and toward value-based payments for physician services.

The passing of MACRA represents CMS' dramatic shift toward value-based payment models.

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.