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Existing market share has been a fairly good predictor of health plan participation in the federal exchange, although new entrants like CO-OPs may give some a run for their money, according to a Milliman report.
A key component to making value-based payment models work is getting physicians on board. But while physicians are supportive of the improved care coordination of such models, they are wary of how the payment structure will work.
Aetna has formed an accountable care organization with PinnacleHealth System for its commercial plan members in the Harrisburg-Central Pennsylvania area, one of multiple value-based models launched recently in the state.
Existing market share has been a fairly good predictor of health plan participation in the federal exchange, although new entrants like CO-OPs may give some a run for their money, according to a Milliman report.
LifePoint Hospitals, headquartered in Brentwood, Tenn., acquires the struggling Bell Hospital and forms a joint venture with Portage Health.
A key component to making value-based payment models work is getting physicians on board. But while physicians are supportive of the improved care coordination of such models, they are wary of how the payment structure will work.
Whether it's guarding against "malicious insiders" or ensuring C-suite execs are scared straight about the risks and regs they face, the coming year poses big challenges to healthcare, according to Kroll's annual Cyber Security Forecast.
Medicare is expanding coverage for telehealth consults next year, as part of a gradual embrace of the technology that mobile and remote healthcare advocates have been hoping to accelerate.
When the Centers for Medicare & Medicaid Services announced the 2014 pay rates for physicians last week, the agency touted a final rule reflecting a shift to a greater emphasis on high-quality care and efficiency. Physician groups were unimpressed, instead keeping their focus on the sustainable growth rate (SGR) that the fee schedule maintains.
In theory, if an investment has high societal value, there should be a way to reward the investor and still leave society better off. Investments that improve health tend to produce significant potential cost offsets.