Tag: Healthcare Payment

Value-Based-Payment-Models-Can-Limit-Healthcare-Spending

Value-Based Payment Models Can Limit Healthcare Spending

Value-based payment models, including accountable care organizations, bundled payment models, and capitation models, can generate savings for providers and limit healthcare spending. As healthcare spending escalates in the US, stakeholders have started looking at value-based payment models to address rising costs, but many payments are still tied to fee-for-service models, according to a Health Affairs […]
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Telemedicine Providers Take Note – The No Surprises Act Is Effective January 1, 2022

  On December 27, 2020, the No Surprises Act was signed into law as part of the Consolidated Appropriations Act, 2021.  In July and October 2021, respectively, the Department of Health and Human Services, the Department of Labor, the Department of the Treasury and the Office of Personnel Management (the Departments) issued two Interim Final […]
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How Population Health, Risk Stratification Support Value-Based Care

Providers must rely on population health management strategies and effective risk stratification to succeed at value-based care. During the COVID-19 pandemic, organizations witnessed the consequences of fee-for-service as providers and patients struggled with communication and revenue. While value-based care is not a new concept, the approach to care delivery and reimbursement has seen significant traction […]
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CMS Releases Physician Fee Schedule Final Rule

CMS says it the goal is to support health equity while focusing on high-quality person-centered care. Increased leverage of telehealth for behavioral care, diabetes prevention and mitigation, and enhanced payment for vaccine administration were three out of many priorities cited by federal officials who announced the release of the Centers for Medicare & Medicaid Services […]
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Patient Payments Trends To Watch

Device agnostic digital patient intake; buy now, pay later; compassionate billing; and AI-enabled customizable payment plans are four trends that rev cycle leaders should watch as the pandemic rages on. Despite promises of a “hot-vaxxed summer,” the COVID-19 pandemic is raging on, more forcefully in some places than ever before. It’s also continuing to take […]
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CMS Issues Proposed Rules Set to Affect Hospices, SNFs

Both rules would do more than merely impact payment. Federal officials this week unveiled a pair of proposed rules that are likely to have significant ramifications for hospice and skilled nursing facility (SNF) providers nationwide. Centers for Medicare & Medicaid Services (CMS) rules 1754-P and 1756-P were issued on Thursday, along with lengthy fact sheets […]
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Key Ways Providers Can Prepare for New Surprise Billing Rules

Starting January 1, 2022, healthcare providers will be subject to a new surprise billing law that makes it illegal for providers to bill patients more than in-network cost-sharing for out-of-network services and establishes an arbitration process to resolve unexpected out-of-network charges. The law, the No Surprises Act, was passed in December 2020 as part of […]
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Contactless Payments, Virtual Care Surge To Continue Post-COVID-19

Healthcare consumerism is on the rise , as patients report the desire to use telehealth and contactless payment options post-COVID-19. However there are disconnects between payer, provider, and consumer expectations, according to the eleventh annual Trends in Healthcare Payments Report from InstaMed. The report explores how COVID-19 has accelerated many trends that have improved the consumer experience […]
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Benefits of HIPAA-Compliant Emails

Payment collection continues to be a challenge for healthcare providers. As we previously reported for Physician’s Practice, studies have indicated that doctors only collect 12% of what they are owed at the time of service, and in two out of three visits they collect nothing upfront at all. This means that physicians are sending bills to collect […]
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