By Don Michaels PhD – When CMS released the Notice of Proposed Rule for the implementation of the MACRA – in April of this year, howls of protest could be heard throughout the healthcare landscape.
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By Don Michaels PhD – The U.S. Department of Health and Human Services (HHS) has a stated goal of shifting 85% of Medicare fee-for-service reimbursement into value-based models by 2016. Private payers will no doubt follow close behind. Meeting this aggressive goal is causing angst among healthcare providers with much conjecture about what it means for their organizations going forward.
By Don Michaels PhD – One of the key concepts to rise out of the turbulent past decade in the healthcare industry is the Accountable Care Organization (ACO). In the ACO model, private and government payers offer the opportunity for financial incentives to groups of providers to encourage them to come together voluntarily to deliver high quality while keeping costs down.
By Don Michaels, PhD – The shift from fee-for-service to value-based care may be moving slowly, but there’s little doubt that the change is inevitable. According to a recent survey by PwC, alternative incentive based payment models like bundles and capitation currently make up a small percentage of payments.