Healthcare Headlines Blog

Healthcare Headlines: October 2019

By Kindred Healthcare

Does Value-Based Pay Have A Future?

While just about everyone in healthcare likes the idea of paying for outcomes, there still remains a challenge on how to fairly implement it. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was a major step away from fee-for-service for physicians; subsequently, private payers began to embrace the possibilities of value-based care, working incentives into contracts that rewarded physicians who used data to show patients were healthier and avoiding unnecessary hospitalizations. Today, with MACRA a few years in the review mirror, fee-for-service contracts are still the norm. Read the full text to learn what the shifts toward value-based care indicate for the future. Read more

Better Patient Outcomes, Not Cost Reduction, Top Priority For Provider Execs

A recent study shows that almost 60% of health system executives ranked improving patient outcomes as the most critical priority for their respective organizations. Improving patient outcomes jumped passed cost reduction, last year's top choice. See the top five responses the study found for what healthcare leaders are prioritizing today. Read more

Survey: Hospital, Health System Leaders Slow To Adopt Risk-Based Payment Arrangements

A new survey of hospital and health system executives and leaders reports that the entrance into risk-based payment arrangements is slow. While there is pressure for greater adoption of programs that provide Medicare reimbursements to healthcare facilities based on the value of care they provide rather than the traditional fee-for-service model, leaders site a lack of reimbursement adequacy from the federal government and access to timely data as major barriers. Read the full text to learn more about the issues causing hesitation in the uptake of these agreements. Read more

Pathway To Patient-Centered Measurement For Accountability

The recently released executive order on improving price and quality transparency not only focuses on price transparency provisions but also calls for the establishment of a health quality roadmap. This roadmap looks to outline a process for alignment of measures across all federal programs and care settings, adoption of common measures, and elimination of “low-value or counterproductive measures.” Take a look at this article to understand the key questions that will need to be answered in the development of patient-centered outcomes measurement. Read more

States Focus On High-Risk Patients To Drop Medicaid Spending

According to a new Government Accountability Office (GAO) report, states are seeing mixed results when coordinating patient care and addressing the social determinants of health to manage healthcare costs for high-cost Medicaid beneficiaries. While there are many strategies deployed across the country – including the use of case managers and mandatory care management services – the efforts have had inconsistent results. Learn more about the strategies in use and their findings. Read more

By Kindred Healthcare