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bundled payments


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publication date

Innovation
CMS Opens the Door to More Virtual Care, Digital Health
Eric Wicklund | November 06, 2024
New Advanced Primary Care Management codes will give providers more incentives to use virtual care and digital health to improve...
Innovation
Using a Bundled Payment Program to Improve Maternity Outcomes
Eric Wicklund | July 26, 2022
Vanderbilt University Medical Center has designed an innovative care management program that has helped Metro Nashville Public Schools save thousands...
Payer
Payers Advise Caution, Request Delays on HHS-Proposed Marketplace Requirements
Laura Beerman | February 21, 2022
"If the ACA intended to fully commoditize coverage, it could have done so," noted one respondent regarding proposed marketplace standardization.
CMO
Bundled Payment Program Reduced Surgery Costs By 50%
Alexandra Wilson Pecci | April 16, 2021
The payment model assesses surgical necessity; bundles payments for certain elective surgical procedures; ensures appropriate site of care and use...
Revenue Cycle
Bundled Payment Program Yields Big Savings for Commercially Insured Patients
Alexandra Wilson Pecci | March 02, 2021
There was an average savings of $16,144 per procedure when the surgery was performed through the Carrum Health program.
Revenue Cycle
CMS Reminder: HCPCS Add-on Code G2211 is a Bundled Service
Revenue Cycle Advisor | February 08, 2021
The application of this code will not result in additional payment for a billed E/M visit service.
Innovation
RWJBarnabas Executive Views Social Determinants as Catalyst for Change
Mandy Roth | August 04, 2020
The coronavirus pandemic created challenges and opportunities for change as Paul Alexander, MD, MPH, took the reins as chief transformation...
CFO
Medicare Overpaid for Postoperative Care by $2.6B in 2018
Jack O'Brien | January 22, 2020
Less than 40% of postoperative visits paid for by Medicare were provided following major surgical procedures.
Innovation
Eight More Hospitals Join PA's Rural Health Model
John Commins | December 27, 2019
The Rural Health Model, the first of its kind, creates an alternative payment model that transitions hospitals from fee-for-service to...
CFO
3 Great Revenue Cycle Exchange Ideas
Alexandra Wilson Pecci | December 16, 2019
"Charge segregation," empowering SBO reps, and demythologizing point-of-service collections were among the great ideas presented last week at the HealthLeaders...
CMO
Insurers Test New Way To Cut Maternity Care Costs: Bundling
KFF Health News | September 27, 2019
A handful of insurers and state Medicaid programs are experimenting with bundled models, sometimes incorporating hospitals and other health providers.
CEO
7 Strategies for ACO Success
John Commins | July 25, 2019
The report comes amid projections that Medicare spending will exceed $1.5 trillion by 2028, which is more than double the...
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