value‐based health care deliveryvalue‐based payment modelsRising US health care costs have led to the creation of alternative payment and care‐delivery models designed to maximize outcomes and/or minimize costs through changes in reimbursement and care delivery. The impact of these interventions in...
Out of more than 50 alternative payment models (APM) that CMS has implemented only six have shown statistically significant cost savings and only four of these met the requirements to be expanded in duration and scope. That is not my opinion,CMS itself states this. We all want higher quality...
the details vary widely across models. Some, such as the ACO models, are broad, holding participants responsible for total spending and quality. Others, such as episode-based payment (EBP) models, are narrower, holding clinicians and health care systems responsible ...
Aiming to improve quality of care, cost, and health equity, the US Centers for Medicare and Medicaid Innovation (CMMI) has supported development of alternative payment models (APMs).1For financing condition-specific treatment, CMMI often uses episode-based APMs. These APMs reimburse clinicians...
The U.S. health-care system offers a kind of “natural experiment” for evaluating the differential impact of some of these models on the cost and quality of care. The United States is one of the few countries that employ multiple payer models in parallel, and has done so for some time...
A polypill for preventing cardiovascular disease has the potential to address health inequities and expand health care access for low-income populations. February 3rd 2025 Health-Related Social Needs, Methods, and Concerns for a Polysocial Risk Score: An Expert Panel Joshua R. Vest, PhD, MPH Cass...
Conduct funds flow and payment reconciliation analytics to determine contract performance and profitability To succeed in these models, healthcare providers need software that identifies risk in a patient population, then highlight opportunities to improve care and reduce total costs. The ability to tie...
Alternative payment models (APMs) are an essential component of MACRA and Medicare's vision of paying for high-value care. This review describes APMs in the context of MACRA and their impact on urology.The majority of urologists will be affected by MACRA. Both APMs and bundled payments are ...
Department of Health and Human Services (HHS), recently announced the aim of linking 85 percent of Medicare payments to quality or value and having 30 percent be made through alternative payment models (e.g., accountable care organizations [ACOs]) by the end of 2016. (b) HHS also hopes ...
McCurdy, Debra