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This state is making 'the biggest bet yet' on value-based care

August 28, 2019


North Carolina and its largest private insurer recently have launched initiatives to move away from a fee-for-service model, toward value-based care, and several of the initiatives are showing early signs of success.

Fewer ACOS joined MSSP in 2019—but more are taking on risk, data show

July 19, 2019


Fewer accountable care organizations (ACOs) joined the Medicare Shared Savings Program in 2019 than in 2018—but more ACOs are taking on financial risk than in previous years, CMS Administrator Seema Verma announced in a Health Affairs blog published Wednesday.

This new treatment model significantly reduced blood pressure among patients with mental health conditions

June 11, 2019


Health care providers are continuously working to find efficient ways to treat some of the United States' most vulnerable populations, and a new study suggests individuals with severe mental health conditions saw overall improvements to their health under a new treatment model called "reverse co-location."

What the US can (and can't) learn from Singapore’s celebrated health system

April 30, 2019


Singapore's health care system is considered "an example of excellence," according to Aaron Carroll, a professor of pediatrics at Indiana University School of Medicine, but a recent visit revealed why U.S. residents might not be able to use the health system as "a possible model for" its own innovation.

HHS just unveiled 5 new value-based payment models. Here's what you need to know.

April 23, 2019


HHS on Monday announced an initiative intended to shift primary care providers and other eligible professionals from fee-for-service payments to value-based payments using five new voluntary payment models.

CMS proposes payment increases for SNFs, hospice facilities for FY 2020

April 22, 2019


CMS on Friday released proposed rules that would increase fiscal year (FY) 2020 Medicare payments for skilled nursing facilities by 2.5%, or $887 million, and hospice facilities by 2.7%, or $540 million, when compared with FY 2019.

Clinician participation in MACRA's QPP exceeded CMS' goals, new report shows

March 25, 2019


The number of clinicians who participated in MACRA's Quality Payment Program in 2017 exceeded CMS' initial goal, according to a report the agency released Wednesday.

How Geisinger became a 'destination' for care for Walmart, Lowe's and other big employers

March 25, 2019


Geisinger Health Interim President and CEO Jaewon Ryu recently sat down with Harvard Business Review's Gardiner Morse to share what it takes to be a "center of excellence" and contract with employers throughout the country to provide high-value care for specified conditions.

This insurer teamed up with five health systems to launch a new value-based payment program

January 18, 2019


Blue Cross Blue Shield of North Carolina on Tuesday announced that it has reached an agreement with five health systems in the state to launch a value-based payment program similar to Medicare's Next Generation accountable care organization program.

CMS finalizes rule to make ACOs take on more risk

January 2, 2019


CMS has finalized a rule to overhaul the Medicare Shared Savings Program and accelerate the pathway for accountable care organizations to transition to two-sided risk models.

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