News & Information
Providers Slow to Adopt Value-based Pay
Written by Editor   
Tuesday, August 22, 2017 09:45 AM

About one-quarter of 700 health executives polled in a new survey said they had no value-based reimbursement initiatives planned for 2017.

Health systems are transitioning from a model that emphasizes volume to value, albeit slowly. Smaller organizations were far more reticent to pursue value-based reimbursement initiatives, some of which include the Medicare shared savings program and variations of accountable care organizations, than larger organizations. Around two-thirds of the organizations that reported between $100 million and $1 billion in annual revenue were not pursuing value-based initiatives in 2017, while the vast majority of larger firms that have the resources needed to integrate these models into clinical operations had some form of value-based models in place.

The industry is beginning to grasp the concept that quality is a driver to reducing costs and that the cost-cutting measures of yesterday were short-term band-aid approaches that did not achieve a sustainable balance of cost and quality.  Providers are pursuing measures to help reduce medical errors and increase reliability. 

Read more...
 
HHS Secretary Asks for Assistance in Going from Volume to Value
Written by Editor   
Tuesday, August 22, 2017 09:32 AM

The Trump administration won't impose a one-size-fits-all strategy on doctors in their transition from volume to value, U.S. Health and Human Services (HHS) Secretary Tom Price, MD has said. Many challenges remain in standardizing measures of value “when every patient is unique," and doctors practice in widely varying settings and circumstances, he said.

Read more...
 
Palmer and University of Kentucky to Study SMT
Written by Editor   
Tuesday, August 22, 2017 12:00 AM

Scientists at the Palmer Center for Chiropractic Research (PCCR) and the University of Kentucky have been awarded a $451,522 grant by the National Institutes of Health, National Center for Complementary and Integrative Health. The grant will fund a three-year research project to learn more about spinal manipulative therapy (SMT), a treatment commonly used by doctors of chiropractic to relieve pain.  “We still know very little about how SMT alleviates pain," said principal investigator Stephen Onifer, Ph.D., associate professor at the PCCR. "This study addresses that knowledge gap by investigating the underlying factors of pain relief following SMT."

Read more...
 
CMS Changing Medicare Audit Process – Targeted Probe & Educate
Written by Editor   
Monday, August 21, 2017 05:56 PM
CLICK FOR LARGER IMAGE

Medicare will be changing to a more focused approach to auditing physicians’ claims for payment.  Under the present audit system, the first round of claims reviews involve all providers for a specific service, so physician practices are randomly chosen for review.

In contrast, the new system will have the Medicare audit contractors (MACs) "select claims for items/services that pose the greatest financial risk to the Medicare trust fund and/or those that have a high national error rate. MACs will focus only on providers/suppliers who have the highest claim error rates or billing practices that vary significantly out from their peers,” CMS said on a webpage explaining the new system, which it is calling “Targeted Probe & Educate."

Read more...
 
11 Reasons Why Performance Measurement Matters to the Chiropractic Profession
Written by Editor   
Friday, August 18, 2017 10:06 PM

By Christine Goertz, DC, PhD

Long before many of us can remember, there were only two people sitting in the chiropractic treatment room – the patient and the doctor. Gradually, the state licensing boards starting showing up. They were joined by the insurance industry. Then health policy makers like Medicare and Medicaid. Followed by more members of the insurance industry. Then scientists made an appearance, talking about evidence-based clinical practice. Now this already very crowded room may become even more crowded if we open the door to the ever-loudly-knocking performance measurers. We have had time to get at least somewhat used to the state and national boards, insurers, policy makers and even the scientists, to some extent. But what is performance measurement and how might it be beneficial to the practice of chiropractic?

Read more...
 
<< first < Prev 11 12 13 14 15 16 17 18 19 20 Next > last >>

Page 17 of 209