April 23rd 2025
Accountable care organizations (ACOs) are increasingly playing the role of data sleuths as they identify and report trends of anomalous billing in hopes of salvaging their shared savings. This mission dovetails with that of CMS, which under the new administration plans to prioritize rooting out fraud, waste, and abuse.
Hospital Value-Based Purchasing Program Aims to Improve Quality of Care
August 6th 2012There are many different payment reform models that are discussed by payers and providers on a regular basis. This is a review of the progress being made in regards to the hospital value-based purchasing (VBP) model, which rewards acute-care hospitals with incentive payments for the quality of care they provide to patients with Medicare.
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Overcoming High Costs to Provide Affordable Access to Cancer Care
July 16th 2012As what happens many times when cancer drugs gain FDA approval, the statistically significant improvements in regards to prolonging patients' lives is often offset by high drug costs, which makes it difficult for drug companies and payers to provide patients access to lifesaving treatments. But what can be done to improve access to affordable care?
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Impact of Payment Reform on Chemotherapy at the End of Life
Payment reform may be used to better align appropriate financial incentives with better quality of care.
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