Medical group shows you how to offset fee-for-service revenue loss by effectively using a pay-for-performance model. The journey toward value in healthcare — increasing your organization’s ability to take on risk by elevating quality of care and reducing costs — is not without bumps in the road. Success often depends on how well you navigate ...
A recent study, sponsored by the American Academy of Family Physicians and Robert Graham Center, finds that physicians who provide more varied care do a better job at keeping patients out the hospital, and at reducing healthcare expenditures. “More Comprehensive Care Among Family Physicians is Associated with Lower Costs and Fewer Hospitalizations,” published in the Annals ...
May 13th, 2015
by John Verhovshek, MA, CPC As policy makers and payers push healthcare toward “pay for performance” reimbursement models, coders may feel some anxiety about the future of their chosen profession. Fear not. Significant—and arguably, much needed—changes in how we report and pay for healthcare services are sure to come. And when those changes are fully ...
With a shift to pay for performance, you need a care management strategy to keep your practice thriving. By  Warren Skea, PhD, and Kenneth Larson, MHA The Affordable Care Act (ACA) and “pay for performance” methodology are transforming healthcare. To succeed financially in the new health economy, your physician practices will have to rely on patient ...
When transitioning to a fee-for-quality system, evaluate coding processes and structure. By Lauren White, MPH, CPC As accountable care organizations (ACOs) and other value-based healthcare arrangements become mainstream, provider compensation models are shifting. Providers are being paid based more on quality metrics than by relative value units (RVUs), and organizations are becoming more interest...