Tag Archives: value-based care

Webcast to focus on the value of ‘value-based’ care

Joseph Burns

About Joseph Burns

Joseph Burns (@jburns18), a Massachusetts-based independent journalist, is AHCJ’s topic leader on health insurance. He welcomes questions and suggestions on insurance resources and tip sheets at joseph@healthjournalism.org.

In a blog post last summer, we asked what appeared to be a simple question: Is value-based care a fad? It turns out that while the question may be simple, the answer is a bit more complicated.

After the blog post ran, we heard from the Dell Medical School at the University of Texas, Austin. The school has a department devoted to teaching value-based care to its medical students. AHCJ will host a webcast at noon ET on Tuesday, June 25, for members featuring two of the school’s professors — Elizabeth Teisberg, Ph.D., and Scott Wallace — who will answer questions about value-based care and explain what students in this program are learning. Continue reading

Is value-based health care a fad?

Joseph Burns

About Joseph Burns

Joseph Burns (@jburns18), a Massachusetts-based independent journalist, is AHCJ’s topic leader on health insurance. He welcomes questions and suggestions on insurance resources and tip sheets at joseph@healthjournalism.org.

Photo: Robert Geiger via Flickr

There’s no doubt that the health system needs new payment models to replace the aging fee-for-service (FFS) method criticized for providing incentives for physicians to do more procedures, prescribe more drugs, and see more patients more frequently.

Among efforts to control costs and improve patient outcomes, health insurers and health systems have been shifting from the FFS model, which drives volume, to a payment model that rewards value. They hope value-based payment will help keep costs down while improving patient outcomes. Health system marketers call it better care at lower cost. Continue reading

Mergers may transform health care as insurers encourage moving patients into lower cost sites of care

Joseph Burns

About Joseph Burns

Joseph Burns (@jburns18), a Massachusetts-based independent journalist, is AHCJ’s topic leader on health insurance. He welcomes questions and suggestions on insurance resources and tip sheets at joseph@healthjournalism.org.

Photo: Mike Mozart via Flickr

For decades, those who pay for health care have urged providers to move patients out of hospitals into lower cost settings such as home care and doctors’ offices.

That trend is accelerating today as seen in recent mergers involving insurers, pharmacies and providers. Continue reading

MACRA: A look at the final rule on physician quality payments and EHR transition

Rebecca Vesely

About Rebecca Vesely

Rebecca Vesely is AHCJ's topic leader on health information technology and a freelance writer. She has written about health, science and medicine for AFP, the Bay Area News Group, Modern Healthcare, Wired, Scientific American online and many other news outlets.

The federal government released its final rule for 2018 on a law that governs physicians’ adoption of electronic health records and rewards them for meeting quality measures when treating Medicare patients.

However, the final rule includes some changes that mean that fewer physicians will be required to participate. One prominent physician group said that the rule will slow the transition to value-based care. Continue reading

What could happen to Medicaid innovation under a repeal scenario?

Rebecca Vesely

About Rebecca Vesely

Rebecca Vesely is AHCJ's topic leader on health information technology and a freelance writer. She has written about health, science and medicine for AFP, the Bay Area News Group, Modern Healthcare, Wired, Scientific American online and many other news outlets.

Photo: ILO via Flickr

Now that Senate Republicans have delayed action on their Obamacare “repeal and replace” bill until after the Independence Day recess, let’s take a moment to talk about innovation.

One underlying objective of the Affordable Care Act was to spur adoption of value-based care and technology-driven care coordination – in tandem with providing free preventive care. Continue reading

#AHCJ17 panelists wrestle with the unintended consequences of complying with MACRA  

Joseph Burns

About Joseph Burns

Joseph Burns (@jburns18), a Massachusetts-based independent journalist, is AHCJ’s topic leader on health insurance. He welcomes questions and suggestions on insurance resources and tip sheets at joseph@healthjournalism.org.

Photo: Pia ChristensenRandi Terry (left), of Munson Healthcare in Traverse City, Mich., explains some of the difficulties of complying with MACRA and getting clarification from CMS on the rules.

Any legislation is bound to have unforeseen outcomes, and the Medicare Access and CHIP Reauthorization Act of 2015 is no exception, according to two members of a panel discussion on MACRA at Health Journalism 2017.

Anders Gilberg, senior vice president of government affairs for the Medical Group Management Association, and Randi Terry, director of information services for Munson Healthcare in Traverse City, Mich., described some of those unintended consequences. Continue reading