Tag: Healthcare Cost Reduction

TEAM: CMS’s New Value-Based Payment for Surgeries

The Centers for Medicare & Medicaid Services (CMS) is introducing a new way to pay for specific surgical procedures: Transforming Episode Accountability Model (TEAM). This mandatory model, starting January 1, 2026, will hold hospitals accountable for the cost and quality of care for 30 days after five types of surgeries: Lower extremity joint replacement Surgical […]
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Benefits Of Coding In Optimizing Resource Allocation

From Claims to Care: How Coding Optimizes Resource Allocation

It is important for ensuring that the proper resources reach the right patients throughout the complicated healthcare system. However, piles of paperwork and complicated medical codes make it difficult to verify that the proper resources are delivered to the right patients when they are needed. Coding may be a great tool for cutting through the […]
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Medicare Advantage Value-Based Care: Enhanced Health Outcomes

Alongside its positive impact on health outcomes, the Medicare Advantage value-based care plans implemented by an insurance provider resulted in a significant $8 billion in cost savings throughout 2022. Reports from the payer revealed that Medicare Advantage beneficiaries under value-based care exhibited improved health conditions, marked by reduced inpatient admissions and emergency room visits. The […]
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