Category Archives: by Andrew Schneider

Managing bundled payments: A key component of your value-based strategy

Compared to other value-based reimbursement methods, bundled payments for episodic health care are old news. Many payers have been slow to embrace them. However, one major payer that’s looking at bundling to drive down costs is the Centers for Medicare and Medicaid Services (CMS). In April, CMS launched its Comprehensive Care for Joint Replacement (CJR) […]
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Eliminate silos, strengthen teamwork for better patient care

More than 40 years ago, the Institute of Medicine released its Educating for the Health Team report that advocated cross-functional provider teamwork over siloed service areas. But fee-for-service payment models kept such forward thinking from taking hold. Under value-based reimbursement, which incentivizes providers to take on risk, inter-professional collaboration is now the rule rather than […]
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Optimizing population health management strategies using data and analytics

With the emergence of value-based care and increasing focus from buyers on outcomes, health plans are feeling the pressure to prove that their population health programs are delivering on the promise to achieve the Triple Aim. Increasingly, reimbursement is tied to quality, utilization, and financial outcomes and health plans need to act now to develop […]
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