Spotlight July 2020 Archives

CMS Issues SNF Policy Changes For FY 2021; Projects Aggregate Payments To SNFs Will Rise By 2.3%

Article May 25, 2020

The Centers for Medicare & Medicaid Services (CMS) project that aggregate payments to skilled nursing facilities (SNFs) will rise by 2.3% during federal fiscal year (FY) 2021, according to statements… Read More

BlueCross BlueShield & Value Network Partner To Start Behavioral Health Value-Based Payment In Western New York

Article April 20, 2020

On February 27, 2020, BlueCross BlueShield of Western New York (BCBSWNY) announced that it entered into a value-based reimbursement (VBR) arrangement with Value Network, LLC, IPA, a network of behavioral… Read More

25% Of Provider Organizations Have Revenue Tied To Value-Based Payments

Article April 18, 2020

As of September 2019, approximately 25% of provider organization revenue was via a value-based payment (VBP) arrangement; however the amount of revenue linked to VBP arrangements varied by organization type.… Read More

Innovations In Mental Health Service Delivery & Implications For Providers

On-Demand Webinar January 28, 2020

New technologies, changing reimbursements, and corporate consolidations are amongst the many drivers evolving the health care landscape.1 During this webinar archive, the speakers discuss strategies for future sustainability in ever-changing… Read More

Success With VBR: What Provider Organization Execs Should Consider

Article January 27, 2020

Making the new gainsharing, value-based partnerships between health plans and provider organizations work requires changes from both parties, and a clear understanding of what success requires. This discussion was prompted by… Read More

Making VBR A Success: What Health Plans Can Do

Article January 27, 2020

Adoption of value-based reimbursement (VBR) models is glacial—slow to occur but changing the delivery system in its wake. It’s an issue we’ve written about before — VBR @ Scale—Changes Required,… Read More

Proving Your Unique Value To Payers: Data Speaks Louder Than Words

Article January 20, 2020

“Show don’t tell” is one of the first lessons journalists learn and one that’s increasingly applicable to executives of health care organizations. The increasing use of value-based contracts is changing… Read More

Suicide Awareness & Prevention

Interview October 28, 2019

Dr. Nicole Meade discusses suicide awareness and prevention, a topic that is extremely important to our community. Dr. Meade examines suicide statistics and terminology, such as why the phrase “committed… Read More

Value-Based Payment Models May Shift The Primary Care Staffing Mix

Article October 14, 2019

As the primary care industry moves toward value-based payment (VBP), primary care practices participating in risk-based models will need additional staff who offer a richer skill mix. The additional skills… Read More

The VBR Mandate – Medicaid Requirements On The Increase

Article September 30, 2019

There are many factors driving the increased use of value-based reimbursement. Payers are facing cost pressures and as a result are focusing on driving better value through integrated care. Competition… Read More

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