How to optimize revenue cycle management in the shift to value based care

medical economics

Healthcare is in transition from the fee-for-service model, in which physicians are paid a fee for every specific service rendered, to the new value-based care (VBC) model, which reimburses based on the quality of patient care. VBC “changes the way that providers are reimbursed or paid,” says Charles Saunders, MD, CEO of Integra Connect, an IT company that offers technology and services to help specialists succeed under VBC in West Palm Beach, Fla.

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Predictive analytics for value-based care success

MGMA

Three years after the Medicare Access and CHIP Reauthorization Act (MACRA) was passed by Congress, the government is doubling down on its commitment to value-based care. As Health and Human Services Secretary Alex Azar recently told one industry group, “There is no turning back … in fact, the only option is to charge forward,” 1 a sentiment frequently echoed by commercial payers.

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Barriers specialists face in population health management

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With the rise of value-based care, payers increasingly require specialists to take on financial and holistic accountability for patients with some of our healthcare system’s most complex – and costly – diseases, from diabetes and congestive heart failure to cancer.

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Early Lessons from the Front Lines of Value-based Care: How One APM Has Impacted Community-Based Oncology Practices

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The Oncology Care Model (OCM) – an alternative payment model introduced in July 2016 by the Center for Medicare and Medicaid Innovation – launched with the ambitious goal to further delivery of higher quality, more coordinated cancer care at a lower cost. Participants include 184 practices representing approximately one-third of community oncologists in the US.

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