Value Based Reimbursement Demands Aligning Physician Productivity Goals And Patient Experience
Even though majority of the healthcare providers and organizations are working to find ways to restructure physician productivity strategies, payers are pushing for better value-based reimbursement adoption. As healthcare providers aim to meet the unique requirements that are necessary for performance-based payments, Cathryn Connolley, managing partner at SystemCare Health, has advised healthcare organizations to align…
ONC Launches New Tool To Determine The Effectiveness Of Clinical Messaging Systems
The Office of the National Coordinator for Health IT has requested officials to test pilot a tool, called C-CDA Scorecard. Reports say that the tool is designed to grade consolidated clinical document architecture documents (C-CDA) in order to evaluate the effectiveness of the clinical messaging systems. The C-CDA Scorecard tool ranks healthcare providers on their…
MedPAC Recommends Changes To MACRA Payment Model
The Congress established Medicare Payment Advisory Commission (MedPAC) as a self-governing agency for advices on Medical reimbursement policy issues. Doing its part, MedPAC sent a report to Congress last month, highlighting the issues involving Medicare program along with some suggestions to improve health care services delivery and the market. The June report contains a chapter…
CMS Receives Comments On MACRA Implementation
CMS invited comments on the proposed Medicare Access and CHIP Reauthorization Act (MACRA) last month, and received hundreds and thousands of remarks on the same. Most noted comment, however, came from the American Medical Association (AMA), who believe that the Medicare payment reform programs should be modified a bit. The agency is concerned that though…
HHS Proposes To Eliminate Backlogs In Medicare Appeals
The Department of Health & Human Services (HHS) plans to clear all backlogs under their new rules. HHS estimates that the Notice of Proposed Rulemaking (NPRM) on proposed changes would reduce the number of appeals going to Administrative Law Judges. Some of the main HHS proposals include; removing some steps in the appeals process, revising…
CMS Eases Restrictions On CO-OP Health Insurers Functions
CMS recently released a final interim rule that eases some restrictions laid on CO-OP health insurers. Experts believe that it is an attempt by CMS to keep CO-OPs from financially sound. The final rule also features a few changes to the special enrollment periods (SEPs) for health exchange sold plans. The Consumer Oriented and Operated…
CHIME Highlights The Need Of A Coordinated Cybersecurity Strategy
Expressing concern on the surge in cyber threats in the country, the College of Healthcare Information Management Executives (CHIME) Board Chair, Marc Probst said in a recent interview that the focus of Federal efforts and HHS should be coordination and not organizational reporting designs. Probst, who is also the Vice President and Chief Information Officer…
CMS Brings Extensive Primary Care Plus Payment Model
Last month, CMS brought out a new payment model for primary care. It is scheduled for testing starting next January, and will be placed as a voluntary option during the five-year testing period. The model will be tested across 20 regions in the country, and will be open to up to 5,000 practices to take…
How You Can Improve On Patient Collections
There is no doubt that the challenges associated with patient collecting are becoming more serious day by day. Patients and their healthcare providers are always encouraged to adopt and utilize modern behaviors and mindsets. However, the rising costs in most areas of healthcare are a shock for the patients. The regular hikes in healthcare is…
UnitedHealth Facing Financial Issues In ACA Healthcare
UnitedHealth’s earnings report reveals it has been losing significant money on the HIEs established under the Affordable Care Act. Consequently, the insurance provider is considering withdrawing from the Exchanges by 2017. On the subject of how much money they lost, UnitedHealth revealed in a regular earnings conference call with stakeholders and analysts that the estimate…
