The Progression Of Value-Based Payment Models

The Progression of Value-Based Payment Models

  • September 18, 2014

To smoothly transition from volume- to value-based models in healthcare, success will require a shift in mindset, tools to support tracking and analyzing clinician behavior, and a solid infrastructure to ensure usability, according to an article on HiTech Answers. McKesson's Matthew Zubiller, Vice President, Corporate Strategy & Business Development and Andrei Gonzales, MD, Director, VBR Initiatives, both weigh in about the leading reimbursement models, the obstacles they present, and ways to overcome those challenges. Read the full article      

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Value-based Health Care Drives Debate

Value-based Health Care Drives Debate

  • September 17, 2014

In the first of a series, reporter Amber Taufen of Benefits Pro takes a broad look at the issues payers and providers face when transitioning to value-based care. The article led with McKesson's benchmark study, “The State of Value-Based Reimbursement and the Transition from Volume to Value in 2014," and quoted VP and Medical Director David Nace, MD, about how value-based care can help reduce costs and improve care.  Read the full article

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Everything You Ever Wanted To Know About Bundled Payments

Everything You Ever Wanted to Know about Bundled Payments

  • September 15, 2014

When it comes to bundled payments, you have questions. And we've been listening. We compiled the top questions our customers ask about bundled payments and posed them to Francois de Brantes, Executive Director of the Health Care Incentive Improvement Institute (a-k-a HCI3). In this unscripted, unrehearsed live interview, Francois provides answers to the following questions: How bundled payments work How is the member benefit and product design handled for bundled payments? How is the member obligation handled in bundled payments? How is risk adjustment managed in prospective bundled payments? Who takes responsibility of costs incurred by patients going outside of the care team?…

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How Fraud And Waste Can Help ICD-10 Advocates

How Fraud and Waste Can Help ICD-10 Advocates

  • September 13, 2014

In Carl Natale's Week in Review over at ICD-10 Watch, he draws a connection how getting ICD-10 done on time can help reduce fraud and waste. As part of this, Natale lists some of our own Josh Berman's "Joshisms," such as "providers get in the most trouble not by the problem, but by not knowing the problem fast enough." Read the full story

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Waiting For Payment Reform?

Waiting For Payment Reform?

  • September 10, 2014

On The Health Care Blog, Charles Kenney and Jack Cochran, MD, make the case that primary care physicians should not wait until payments change to start shifting their own practices towards value-based care. They should do it now, because reform is happening. The authors cite the findings from McKesson's 2014 State of Value-Based Reimbursement study, and quote the study: "To remain relevant and competitive, payers, hospitals, health systems, and clinicians must respond now to integrate value-based models into their existing systems." Read the full article here

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ICD-10’s Leadership Crisis: Can CMS Step Up To The Plate?

ICD-10’s Leadership Crisis: Can CMS Step Up to the Plate?

  • August 21, 2014

Medical Practice Insider Associate Editor Madelyn Kearns spoke with Joshua Berman, director of business analytics and ICD-10 for RelayHealth Financial, about how procrastination has hampered readiness efforts; and what CMS, Congress, and physicians can do now to prepare for the fast-approaching go-live date. Read the full interview

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ICD-10’s Leadership Crisis: Can CMS Step Up To The Plate?

ICD-10’s Leadership Crisis: Can CMS Step Up to the Plate?

  • August 21, 2014

Medical Practice Insider Associate Editor Madelyn Kearns spoke with Joshua Berman, director of business analytics and ICD-10 for RelayHealth Financial, about how procrastination has hampered readiness efforts; and what CMS, Congress, and physicians can do now to prepare for the fast-approaching go-live date. Read the full interview

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Three Must-Dos For Payers, Providers Seeking Successful Collaboration

Three Must-Dos for Payers, Providers Seeking Successful Collaboration

  • August 14, 2014

“The only way to win is to work together,” advises Holly Toomey, RN, BS, HCA, director, product management at McKesson Health Solutions. Her recent blog post features practical advice for payers and providers navigating the new reality of healthcare: success requires the best possible clinical outcomes at the lowest possible costs. To build a more comprehensive, collaborative relationship between payers and providers, Toomey suggests: An Automated Utilization Management Process – Use electronic tools to streamline requests for treatment, minimizing patient delays and making it easier to exchange clinical and financial information in real time. A Shared Exception-Based Utilization Management System - Set…

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