Healthcare Finance

UPMC Hillman Cancer Center uses analytics to improve care quality with CMS Oncology Care Model – HCF –

The Oncology Care Model is an initiative of the Centers for Medicare and Medicaid Services to improve the value of patient care by ensuring high-quality and more coordinated patient care while lowering the cost of care to Medicare.

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Proving That Value-Based Care Is Possible

More than 2 years after the passage of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), the progression toward value based care has challenged oncologists to assume an unprecedented degree of accountability for the well-being and holistic care of their patients.

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AJMC - Managed Markets Network

High-Impact Workflow Changes for Value-Based Care Success

As oncology practices transition to value-based care, they are challenged to take on more holistic responsibility for their patient. Fortunately, the examples of practices participating in CMS’ Oncology Care Model can offer valuable insight into the most impactful workflow changes providers can implement as they strive to achieve cost and quality improvements.

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Hospital CFO Report

175 RCM service expansions so far in 2017

Here are 175 revenue cycle management portfolio expansions involving healthcare vendors and providers so far in 2017. … 122. Integra Connect, a provider of technologies and services for value-based specialty care, launched a new revenue cycle management service.

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accountable care news

Specialty Practices Have Way to Go to Meet MACRA Requirements (Accountable Care News – Volume 8, Issue 12, page 7 – 8, November 2017)

A growing number of specialty physicians, comprised mainly of oncologists (58%) and urologists (42%), recognize that clinical, financial and operational changes are needed to be successful under value-based care reimbursement models stemming from MACRA regulations; however, a majority has not yet invested in organizational, information technology

nor service improvements to achieve them.

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managed healthcare executive

Ten ways multiple myeloma treatment is changing

As steady improvements continue in the treatment of multiple myeloma, it’s important for managed care executives to get out in front of the changes on the horizon. “Several exciting new drugs are in the market or on the verge,” says Jeffrey Scott, MD, an oncologist and chief medical officer of Integra Connect. “This means that more patients are living longer and better, and treatment increasingly resembles chronic care.”

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healthcare informatics

UPMC’s March Forward in CMS’ Oncology Care Model

In June 2016, nearly 200 U.S. oncology practices began participating in a new program launched by the Center for Medicare and Medicaid Innovation (CMMI) to encourage higher quality and more coordinated cancer care.

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healthcare informatics

In New Mexico, a Medical Home Model Created Outside the Hospital

Developed in New Mexico, the Community Oncology Medical Home model builds on the patient-centered medical home concept. Now, its creator ponders if it could become a qualified MACRA APM

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Optimizing Financial Performance Under Value-Based Care

With the potential to significantly affect payment, new value-based care models are challenging for medical groups and physician practices. The experiences of participants in the Oncology Care Model can serve as a roadmap for how to adapt operations.

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Part B News

4 changes to your practice that can make MIPS easier to ace

Make your merit-based incentive payment system (MIPS) reporting easier and higher-scoring by streamlining some operations to prepare for the proposed 2018 regulations, which raise the floor of required measures from three to 15.

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