Tag: fee-for-service

Telehealth-Payment-Parity-Through-2023

Telehealth Payment Parity Only Good Through 2023

The omnibus spending bill continues telehealth waivers for two years past the PHE, but was silent on the issue of reimbursement. The federal government extended telehealth waivers for two years, but the current higher rate of reimbursement is in place only through the end of this year. During the public health emergency, the Centers for […]
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Top-Administrative-Challenges-for-Physicians-in-2023

Top Administrative Challenges for Physicians in 2023

Quality metric reporting can be a significant challenge to health care administration due to a number of obstacles. First and foremost, you need buy-in from the physicians providing the care to the patients. Without this, it is difficult to make any meaningful changes to the pattern of care provided. Second, it requires having a very […]
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Value-Based-Payment-Models-Can-Limit-Healthcare-Spending

Value-Based Payment Models Can Limit Healthcare Spending

Value-based payment models, including accountable care organizations, bundled payment models, and capitation models, can generate savings for providers and limit healthcare spending. As healthcare spending escalates in the US, stakeholders have started looking at value-based payment models to address rising costs, but many payments are still tied to fee-for-service models, according to a Health Affairs […]
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Digital-Health-and-Healthcare-IT-Post-Covid

The Future of Digital Health and Healthcare IT Post-Covid

Implementing and pursuing innovation in digital health and healthcare IT should be a priority for all U.S. healthcare providers and payers — especially as the lessons and response to the Covid-19 pandemic become permanently part of our everyday lives. The outbreak of Covid-19 was a “black swan” event that dramatically accelerated the evolution and acceptance […]
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Top-Investment-Areas-for-Primary-Care-Practice-Leaders

Top Investment Areas for Primary Care Practice Leaders

Nearly 75 percent of primary care practice leaders have invested in additional staff to accommodate the shift to value-based care, while 71 percent have added new technology. Staffing and technology are the top investment areas for primary care practice leaders as they manage the challenges of shifting from fee-for-service (FFS) models to value-based care, according […]
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Value-based-care-catching-up-to-FFS

Value-Based Care Catching up to Fee-For-Service

Outcomes-based models are spreading, but fee-for-service still dominates payment landscape. Is value-based care having a moment? Health care policy experts and institutions have long agreed that fee-for-service (FFS) medicine is wasteful, outmoded and at least partially responsible for the U.S. spending far more than peer nations on health care, but with outcomes that are no […]
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More New Rules from CMS for FY 2020

Among the proposed new rules is one intended to clarify the contentious “Stark Law” On Oct. 9, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to modernize and clarify the regulations that interpret the Medicare physician self-referral law (often called the “Stark Law”). The law prohibits physicians from making referrals for […]
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