The HVBP program is an important effort by CMS to provide tangible incentives to hospitals to improve the quality of care that they are delivering. Current results show uneven performance both geographically and by different types of hospitals.
. Using literature review and interviews, AJMC has identified 8 shared attributes of programs, such as accountable care organizations, readmission initiatives, special needs plans, care transition programs, and patient-centered medical homes, that successfully treat high-need, high-cost patients.
According to a new report from the McKinsey Center for US Health System Reform, there are currently 64 insurance plans led by providers like hospitals or healthcare systems available through the health insurance marketplaces. Next year, there will be 72.
By Thomas A Malone, MD, Vice President, Health Plan Accounts Health systems have a variety of strategies at their disposal for improving population health management, and self-funded employer health plans (…)
Author: Eric Wallace, Vice President, Lumeris Regardless of the uncertainty with the Delivery System Reform Incentive Payment Program (DSRIP), the New York state healthcare market has already begun the process (…)
Authors: Ben Alexander, Vice President, PHSO Product and Solutions and Chief Medical Officer, Population Health Analytics The healthcare industry is abuzz with talk about how information technology is transforming the (…)
Authors: Matt Farnum, Vice President, Health Plan Accounts David Corrigan, Vice President, Expansion and Operations As value-based care gains traction, provider groups and health systems are finding that managing populations (…)
Senior vice president and head of markets, Carol Murdock, shares insights on how other organizations work to make accountable care a reality.
Essence Healthcare, Lumeris’ pioneer client, has just received an extraordinary rating from the Centers for Medicare and Medicaid Services (CMS), 5-Stars, for the quality of services it delivers to its Medicare Advantage (MA) members, placing it in the 98th percentile of all MA plans.
At a conference with leading health system CFOs last week, participants shared valuable ideas, successes and struggles with their peers. Open discussions and panels provided thought-provoking insights for CFOs navigating (…)