Quality and Safety
With algorithms and analytics, first-moving health orgs are reaping alternative payment models to reduce readmissions, incentivize physicians to coordinate care and improve patient satisfaction.
The Veterans Community Care and Access Act of 2017 would require the agency to implement an integrated healthcare network, while drafting standards on access and quality.
Mayo Clinic, Northwell, among providers taking part in program to share information and best practices in the 2019 payment year.
In the end, the program has shifted money away from physicians who treated sicker, poorer patients to pay for bonuses that rewarded practices treating richer, healthier populations.
As the popularity, and profitability, of urine tests has expanded, so has the potential for fraud and malpractice.
Insurers, providers, pharma urge CMS to reconsider allowing states to set essential health benefit benchmarks.
But study suggests the U.S. as a whole is not doing particularly well when it comes to pulling back on outdated procedures.
Integration with providers, narrow network ACO models, speaking members' languages and improving patient experience all key to earning, and keeping, an overall 5-star rating.
Expensive branded drugs, diagnostic testing and imaging for some patients prior to low-risk surgery and population-based vitamin D screening all make the list.
Hospitals and other providers spend nearly $39 billion a year solely on the administrative activities associated with regulatory compliance, AHA says.