Healthcare Revenue Cycle and Finance

New Directions for Medicare Physician Payment

By Jordan Kiszla & Rachel Nuzum – HHS issued a proposed rule to implement MACRA. Congress passed this bipartisan legislation last year to replace the sustainable growth rate formula (SGR)—which tied the growth of Medicare physician payments to growth in the economy—with an approach that rewards high-performing providers and supports alternative payment models.


Why DSM is a Failure for Referral Management

By Jeremy Guttman – Contrary to what some EHR proponents believe, DSM by itself is an unpopular and ineffective solution when it comes to true interoperability, care coordination and referral management. It has almost no practical benefit for referral management beyond what primary care practices use it for right now: getting credit for Meaningful Use stage 2.






eCaring: An Essential Tool for Value Based Digital Care Management Part II

A “value-based digital health” reimbursement model as a plausible payment solution for new technology appeared in the 2016 McKinsey Report How Healthcare Systems Can Become Digital-Health Leaders by Gerardo Aue. The concept advocates that since health systems hold the data needed to measure outcomes, why not use this information to measure the outcomes of digital health services?