Healthcare Payment Reform

Variation in Medicare Spending Narrows as Top-Spenders Cut Costs | RevCycle Intelligence | 11/5/2020

Practice Management News Variation in Medicare Spending Narrows as Top-Spenders Cut Costs Hospital referral regions with the highest Medicare spending rates in 2007 had the lowest growth rates through 2017, indicating the success of certain healthcare payment reform s. Healthcare spending variation has been a major challenge for the industry, but a new study in Health Affairs has found that the gap between high- and low-cost regions is getting …

Spillover effects of payment systems | 10/23/2020

Critical comments on health economics and policy October 23, 2020 Spillover effects of payment systems Randomized trial shows healthcare payment reform has equal-sized spillover effects on patients not targeted by reform From PNAS: Changes in the way health insurers pay healthcare providers may not only directly affect the insurer‚Äôs patients but may also affect patients covered by other insurers. This is the research question. And this is the …

Healthcare Industry Veteran to Lead Strategy, Innovation for the Healthcare Business of LexisNexis Risk Solutions | PR Newswire | 8/24/2020

… healthcare system operates today.” Sultan is a healthcare industry veteran with more than 20 years of experience. His previous experience also includes leadership positions at Edifecs, where he served as principal strategic advisor on healthcare payment reform and payer/provider partnerships, at TriZetto Corporation as chief product portfolio architect, and at MedAlign as chief informatics officer. “LexisNexis Risk Solutions has vast data resources and the strategic opportunity to win in …

Randomized trial shows healthcare payment reform has equal-sized spillover effects on patients not targeted by reform [Economic Sciences] | 8/11/2020

Inaugural Article Randomized trial shows healthcare payment reform has equal-sized spillover effects on patients not targeted by reform View ORCID Profile Liran Einav , Amy Finkelstein , View ORCID Profile Yunan Ji , and View ORCID Profile Neale Mahoney PNAS August 11, 2020 117 (32) 18939-18947; first published July 27, 2020 https://doi.org/10.1073/pnas.2004759117 Liran Einav a Department of Economics, Stanford University , Stanford, CA 94305; b National Bureau of Economic …

Ballad Health supports national LAN’s new goals to accelerate reach and impact of value-based payment reform | Globe Newswire | 10/25/2019

… said Levine. As a partner of the Health Care Payment Learning & Action Network (LAN) and a member of its newly-launched CEO Forum, Levine is pledging his support for the organization’s goal of advancing healthcare payment reform . The LAN is an active group of public and private healthcare leaders dedicated to revamping the American healthcare payment system. Instead of the traditional fee-for-service structure, the LAN advocates for alternative …

Ballad Health supports national LAN’s new goals to accelerate reach and impact of value-based payment reform | Globe Newswire | 10/25/2019

… said Levine. As a partner of the Health Care Payment Learning & Action Network (LAN) and a member of its newly-launched CEO Forum, Levine is pledging his support for the organization’s goal of advancing healthcare payment reform . The LAN is an active group of public and private healthcare leaders dedicated to revamping the American healthcare payment system. Instead of the traditional fee-for-service structure, the LAN advocates for alternative …

Rebuilding the social safety net is in everyone’s interest | Modern Healthcare | 10/24/2019

… National Academy of Sciences recently called on healthcare organizations to integrate social care into the provision of healthcare. A forthcoming report from the Root Cause Coalition will list as its first “call to action” healthcare payment reform s that will allow providers to help finance the redress of social inequities. Healthcare organizations need to be part of the solution, of course. Charitable foundations should do more to help the not-for …

Archway Health Offers First Patient Case Mix Analytics Tool for BPCI Advanced Participants | Business Wire | 10/9/2019

… more about the PCMA tool and other Archway Analytics capabilities, providers can visit Archway’s website and request a demo . About Archway Health Archway Health, founded in 2014 and built on a deep foundation of healthcare payment reform expertise, works with providers and employers to design and execute care and risk management initiatives that improve care and reduce costs. Archway is currently working with leading healthcare providers participating in risk-based …

North Carolina eyes healthcare payment reform: 6 things to know | Becker’s Hospital Review | 8/28/2019

North Carolina has embarked on its journey to have physicians and hospitals paid based on health outcomes instead of volume, according to The New York Times . Six things to know about the project: 1. The transformation efforts are prompted by similar priorities of the North Carolina Department of Health and Human Services and Blue Cross Blue Shield of North Carolina. 2. Both agencies said they are pursuing aggressive shifts from …

Greater Volumes, Consolidation Likely Under Medicare for All | RevCycle Intelligence | 7/8/2019

… transition and help earn physician and hospital buy-in.” Song advocated for setting reimbursement rates at a fixed percentage above Medicare rather than at Medicare levels as proposed policies have stated. READ MORE: Verma: Healthcare Payment Reform to Focus on Docs, Not Hospitals Setting prices at 200 percent of Medicare levels would result in less drastic reimbursement cuts for common services. For example, providers would receive an 83 percent boost …

Archway Health, MedAxiom, and the American College of Cardiology to Collaborate on BPCI Advanced Opportunity Assessments | Business Wire | 4/25/2019

… renowned JACC Journals, operates national registries to measure and improve care, and offers cardiovascular accreditation to hospitals and institutions. About Archway Health Archway Health, founded in 2014 and built on a deep foundation of healthcare payment reform expertise, works with providers and employers to design and execute care and risk management initiatives that improve care and reduce costs. Archway is currently working with leading healthcare providers participating in risk-based …

Dr. Asaf Bitton tapped to replace Gawande in leading Ariadne Labs innovation center | FierceHealthcare | 4/24/2019

… Chan School of Public Health Dean Michelle Williams for the next executive director. Considered a public health expert, Bitton’s research focuses on international tobacco control policy, the global burden of chronic disease and U.S. healthcare payment reform , among other things. Bitton, 41, has been the director of the Ariadne Labs Primary Health Care Program since 2014. In that role, he has been a leader of the Primary Health Care Performance …

Dr. Asaf Bitton tapped to replace Gawande in leading Ariadne Labs innovation center | FierceHealthcare | 4/23/2019

… Chan School of Public Health Dean Michelle Williams for the next executive director. Considered a public health expert, Bitton’s research focuses on international tobacco control policy, the global burden of chronic disease and U.S. healthcare payment reform , among other things. Bitton, 41, has been the director of the Ariadne Labs Primary Health Care Program since 2014. In that role, he has been a leader of the Primary Health Care Performance …

48 States Running Value-Based Reimbursement, Care Initiatives | RevCycle Intelligence | 4/17/2019

… initiatives are multi-payer in scope, and only four states have little to no value-based payment (VBP) initiatives underway. “Much of the public’s attention is focused on the federal government’s role in catalyzing healthcare payment reform , but the significant work being done at the state level is no less important and meaningful,” Carolyn Wukitch, senior vice president and general manager of network and financial management at Change Healthcare stated …

Majority of States Have Committed to Value-Based Care, Payment Reform | HealthPayer Intelligence | 4/17/2019

… Healthcare. Half of these value-based models are multi-payer in scope. Just four states have few or no value-based initiatives underway. While the federal government has played a critical role in accelerating healthcare payment reform , efforts and initiatives at the state level have also contributed to the rise in value-based care adoption . Dig Deeper Rhode Island Aims to Expand Value-Based Care in Medicaid Program “New care …

Nearly all states using value-based payment models | Healthcare Dive | 4/17/2019

… of their work. While Medicare has been a main focus, states and Medicaid managed care plans also have their opportunities. “Much of the public’s attention is focused on the federal government’s role in catalyzing healthcare payment reform , but the significant work being done at the state level is no less important and meaningful,” Carolyn Wukitch, senior vice president and general manager for network and financial management at Change Healthcare said …

Change Healthcare Research: 48 States Now Committed to Value-Based Care and Payment Models | Business Wire | 4/16/2019

… scope of their breadth of initiatives, embrace of payment models that involve shared risk, and willingness to test innovative strategies. “Much of the public’s attention is focused on the federal government’s role in catalyzing healthcare payment reform , but the significant work being done at the state level is no less important and meaningful,” said Carolyn Wukitch, senior vice president & general manager, Network and Financial Management, Change Healthcare. “Based on the …

BestRx First Pharmacy Dispensing Software Company to Achieve Level 2 – Pharmacist eCare Plan Capability | PRWeb | 11/16/2017

… at the forefront of this exciting new stage in collaborative health care,” shared BestRx president Hemal Desai. BestRx’s proactive innovation permitted the company to be on the forefront of this initiative that influences both healthcare payment reform and overall reductions in healthcare cost for chronically ill patients while increasing revenues for the independent pharmacies that are often the primary healthcare resource for under-served patients and communities. About BestRx Pharmacy …

Archway Health Expands Commercial Bundles with New Analytics Team | Business Wire | 10/11/2017

… in biomedical science and molecular biology from George Washington University and a master’s degree in epidemiology from Yale University. About Archway Health Archway Health, founded in 2014 and built on a deep foundation of healthcare payment reform expertise, works with providers to design and execute care and risk management programs that drive success in bundled payment programs. Archway is currently working with leading healthcare providers participating in the CMS BPCI …

Medicare

Rebuilding the social safety net is in everyone’s interest | Modern Healthcare | 10/24/2019

… turn will lead to less cost-shifting to those in employer-based plans. It’s not just Medicaid. Nearly half of Medicare beneficiaries live solely on Social Security. That leaves an estimated 7 million of the … Cause Coalition will list as its first “call to action” healthcare payment reforms that will allow providers to help finance the redress of social inequities. Healthcare organizations need to be part of the solution, of …

Archway Health Offers First Patient Case Mix Analytics Tool for BPCI Advanced Participants | Business Wire | 10/9/2019

… providers strive to manage costs below in value-based payment programs – involve complex pricing methodology set by the Centers for Medicare & Medicaid Services (CMS). With the introduction of BPCI Advanced in 2018, CMS began adjusting … founded in 2014 and built on a deep foundation of healthcare payment reform expertise, works with providers and employers to design and execute care and risk management initiatives that improve care and reduce costs. Archway …

Medicaid

Rebuilding the social safety net is in everyone’s interest | Modern Healthcare | 10/24/2019

… the poor, which in turn will lead to less cost-shifting to those in employer-based plans. It’s not just Medicaid. Nearly half of Medicare beneficiaries live solely on Social Security. That leaves an estimated … Cause Coalition will list as its first “call to action” healthcare payment reforms that will allow providers to help finance the redress of social inequities. Healthcare organizations need to be part of the solution, of …

Archway Health Offers First Patient Case Mix Analytics Tool for BPCI Advanced Participants | Business Wire | 10/9/2019

… strive to manage costs below in value-based payment programs – involve complex pricing methodology set by the Centers for Medicare & Medicaid Services (CMS). With the introduction of BPCI Advanced in 2018, CMS began adjusting providers … founded in 2014 and built on a deep foundation of healthcare payment reform expertise, works with providers and employers to design and execute care and risk management initiatives that improve care and reduce costs. Archway …

Bundled Payments

Archway Health Offers First Patient Case Mix Analytics Tool for BPCI Advanced Participants | Business Wire | 10/9/2019

… Analytics that allows providers to understand how the case mix of their patient population will impact their performance in the Bundled Payments for Care Improvement (BPCI) Advanced program. Believed to be the first of its … founded in 2014 and built on a deep foundation of healthcare payment reform expertise, works with providers and employers to design and execute care and risk management initiatives that improve care and reduce costs. Archway …

Archway Health, MedAxiom, and the American College of Cardiology to Collaborate on BPCI Advanced Opportunity Assessments | Business Wire | 4/25/2019

… an initial analysis of potential cost savings and areas for quality improvement and help prepare for the open window of Bundled Payments for Care Improvement (BPCI) Advanced Cohort 2, a program of the Centers for … founded in 2014 and built on a deep foundation of healthcare payment reform expertise, works with providers and employers to design and execute care and risk management initiatives that improve care and reduce costs. Archway …

ACOs

Archway Health Offers First Patient Case Mix Analytics Tool for BPCI Advanced Participants | Business Wire | 10/9/2019

healthcare payment reform expertise, works with providers and employers to design and execute care and risk management initiatives that improve care and reduce costs. Archway is currently working with leading healthcare providers participating in risk-based contracts including CMMI bundled payment programs such as BPCI Advanced, OCM, and CJR. Archway also works with Medicare and commercial ACOs, self-insured employers, and commercial payers. To support these programs, Archway collaborates with …

Archway Health, MedAxiom, and the American College of Cardiology to Collaborate on BPCI Advanced Opportunity Assessments | Business Wire | 4/25/2019

… accreditation to hospitals and institutions. About Archway Health Archway Health, founded in 2014 and built on a deep foundation of healthcare payment reform expertise, works with providers and employers to design and execute care and … Archway also works with Medicare and commercial accountable care organizations (ACOs), self-insured employers, and commercial payers. To support these programs, Archway collaborates with organizations to analyze their opportunities and risks, and deploys a comprehensive …

BPCI

Archway Health Offers First Patient Case Mix Analytics Tool for BPCI Advanced Participants | Business Wire | 10/9/2019

… understand how the case mix of their patient population will impact their performance in the Bundled Payments for Care Improvement (BPCI) Advanced program. Believed to be the first of its kind, Archway’s PCMA function complements … founded in 2014 and built on a deep foundation of healthcare payment reform expertise, works with providers and employers to design and execute care and risk management initiatives that improve care and reduce costs. Archway …

Archway Health, MedAxiom, and the American College of Cardiology to Collaborate on BPCI Advanced Opportunity Assessments | Business Wire | 4/25/2019

WASHINGTON- Archway Health , MedAxiom , and the American College of Cardiology (ACC) today announced plans to offer a free BPCI Advanced Opportunity Assessment that would provide cardiovascular groups and health systems with an initial analysis of … founded in 2014 and built on a deep foundation of healthcare payment reform expertise, works with providers and employers to design and execute care and risk management initiatives that improve care and reduce costs. Archway …

Archway Health

Archway Health Offers First Patient Case Mix Analytics Tool for BPCI Advanced Participants | Business Wire | 10/9/2019

BOSTON- Archway Health , a full-service, tech-enabled partner to healthcare organizations in risk-based payment programs, today announced the Patient Case Mix Adjustment (PCMA) Tool in Archway Analytics that allows providers to understand how … founded in 2014 and built on a deep foundation of healthcare payment reform expertise, works with providers and employers to design and execute care and risk management initiatives that improve care and reduce costs. Archway …

Archway Health, MedAxiom, and the American College of Cardiology to Collaborate on BPCI Advanced Opportunity Assessments | Business Wire | 4/25/2019

WASHINGTON- Archway Health , MedAxiom , and the American College of Cardiology (ACC) today announced plans to offer a free BPCI Advanced Opportunity Assessment that would provide cardiovascular groups and health systems with an initial analysis of … founded in 2014 and built on a deep foundation of healthcare payment reform expertise, works with providers and employers to design and execute care and risk management initiatives that improve care and reduce costs. Archway …

Change Healthcare

48 States Running Value-Based Reimbursement, Care Initiatives | RevCycle Intelligence | 4/17/2019

Change Healthcare study shows. The second national study of state healthcare payment programs also found that about one-half of the value-based reimbursement initiatives are multi-payer in scope, and only four states have little to no value-based payment (VBP) initiatives underway. “Much of the public’s attention is focused on the federal government’s role in catalyzing healthcare payment reform, but the significant work being done at the state …

Majority of States Have Committed to Value-Based Care, Payment Reform | HealthPayer Intelligence | 4/17/2019

Change Healthcare. Half of these value-based models are multi-payer in scope. Just four states have few or no value-based initiatives underway. While the federal government has played a critical role in accelerating healthcare payment reform, efforts and initiatives at the state level have also contributed to the rise in value-based care adoption . Dig Deeper Rhode Island Aims to Expand Value-Based Care in Medicaid Program “New …