Tag Archives: Centers for Medicare and Medicaid Services

Creating Consistent Success in Value-Based Care

Transitioning into value-based arrangements can be a challenging yet rewarding process. But sometimes success can feel fleeting; one year you succeed, the next you don’t. What tools and solutions can help providers deliver high-quality, cost-efficient care and achieve consistent success?

Sneak Peek: “Fireside Chat” With Paul Keckley, Ph.D.

Enjoy this preview of an insightful, engaging discussion between Shawn Morris, CEO of Privia Health, and Paul Keckley, Managing Editor of The Keckley Report. These industry thought leaders tackle healthcare’s most urgent and important issues: President Biden’s healthcare plan, data bias in social determinants of health, physician alignment strategies for health systems, and much more.

Finding Equilibrium in Fee-for-Service and Value-Based Care

As practices financially recover from the COVID-19 pandemic, decision-makers face a perplexing problem: Should practices double down on fee-for-service contracts or explore risky yet potentially rewarding value-based care? Rick Foerster, SVP of Value-Based Operations at Privia Health, argues against this black-and-white thinking and examines tools, technology, processes, and partnerships to help practices navigate and thrive in both payment models.

Healthcare Groups Champion Law to Advance Value-Based Care

Healthcare leaders sign paperwork or letter.

Leading national healthcare organizations recently signed a joint letter to Congress in support of the Value in Health Care Act of 2021. How do the bill’s reforms aim to advance value-based care and reduce health inequities?

CMS Finalizes Prior Authorization Rules, Receives Pushback

Doctor making phone call to ask question.

The Centers for Medicare and Medicaid Services (CMS) recently finalized the “CMS Interoperability and Prior Authorization” rule. How might this rule improve data exchange and decrease administrative burden for providers?

How Did 2020 Highlight the Need for — and Challenges of — Value-Based Care?

Amid an unprecedented pandemic, value-based care made tremendous progress. How did COVID-19 demonstrate the need for value-based care while highlighting areas from opportunity and improvement?

Examining Waste in Healthcare (and One Method to Reduce It)

Researchers estimate that waste accounts for nearly 25 percent of our ever-increasing national healthcare spending. What constitutes “waste” and how might bundled payments help to reduce it?

CMS Finalizes Policies to Expand Care Options and Settings

The Centers for Medicare and Medicaid Services (CMS) announced policy changes to expand at-home care, outpatient procedures, and telehealth. How might these new guidelines help hospitals facing a surge of patients due to the COVID-19 pandemic?

What Do Medicare-Aged Patients Want in Their Healthcare?

Within the next 20 years, 20 percent of Americans will be 65 or older. It is crucial that providers understand this demographic’s preferences. How can providers embrace technology, increase patient education, and treat the social determinants of health to account for this “silver tsunami?”

Final Rule Issued Regarding Price Transparency

The Trump administration has issued its final rule requiring that insurers and health plans disclose prices and cost-sharing information. What other mandates are included in the rule and why are critics pusing back?

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