Bundled payment models —which involve a set price intended to cover each element of clinical care or support for a specific procedure or condition — could prove an effective way for the care providers to contain costs while improving quality. However, some healthcare industry stakeholders have raised concerns about a possible downside to bundling payments: stifling innovation.
The Medicare Part A deductible – for inpatient hospital, skilled nursing facility and home healthcare services – will increase by $44 in calendar year 2015 to $1,260, while the mon…View full post
To solve long-standing health care quality challenges, such as overuse of unnecessary treatments and wide variation in clinical practice, a transformation in how we pay for care is required. That was the takeaway from AHIP’s Hill Briefing: Health Plan Innovation – Delivering Better Value for Consumers, which brought together leaders from WellPoint, HealthPartners, Cigna, and the Centers for Medicare & Medicaid Services (CMS), to discuss the pathway to a delivery system that provides better value and better care for patients. [...]View full post
Leaders from 11 top medical schools convene at Vanderbilt University to discuss next steps in preparing medical students for changing health care landscape, as part of AMA’s Accelerating Change in Medical Education initiative.
AMA Press Release
The challenges of operating an ACO that cuts costs without losing money can be so daunting that some ACO operators may launch a Medicare Advantage health plan to replace it, according to Healthcare Finance News.read moreView full post
Seeking Lower Prices Where Providers Are Consolidated: <br>An Examination of Market and Policy Strategies
Consolidation between and among hospitals and physicians can lead to improvements in efficiency and quality of care, but it also tends to raise prices for health care services. As part of their Commonwealth Fund–supported study, researchers outlined eight strategies to promote greater competition on price and quality.