There are two new PCI payment arrangements for primary care physicians (PCPs) to choose between: Primary Care First (PCF) and Direct Contracting (DC).
In 2019, CMS released two rules related to transparency in healthcare pricing. Although the future of these rules is uncertain, providers should take a close look at both rules and begin preparing for greater pricing transparency in the industry,
Patient centricity and value transparency are fundamental to healthcare and serve as a true north for all participants in the healthcare delivery process.
CMS has offered a second application period for organizations considering participation in BPCI Advanced. Many organizations have submitted the nonbinding application to receive detailed claims data that will provide valuable insight into organizational performance across the 37 inpatient and outpatient episodes, as well as post-acute performance.
ECG’s 2018 Physician Compensation Survey provides market-specific data. This year’s data showed that the major issues motivating organizations to examine and reconfigure compensation arrangements are financial performance, migration to value based reimbursement systems, and pressures from nontraditional competitors.
A forward-thinking financial model can help hospital leaders better predict and balance potential gains and losses from incentives, penalties, volume changes, and other factors related to value-based payment.
Many healthcare leaders bemoan the lack of certainty in healthcare today, but there are some trends that hospital and health system leaders can count on to shape the industry in the coming years.
To compete successfully, the health systems of 10 to 15 years from now must be as different from their current form as existing systems are from the ones 80 years ago. What will drive this change?
Referral standards present a highly effective yet low-cost option for improving patient care coordination.
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