According to a study published in the New England Journal of Medicine in February 2016, the Hospital Readmissions Reduction Program, which is included in the Affordable Care Act (ACA), and applies financial penalties to hospitals that have higher-than-expected readmission rates for targeted conditions, resulted in a decline in readmission rates:The study analyzed data from 3387 […]Read more
The federal government is penalizing 758 hospitals with higher rates of patient safety incidents, and more than half of those places had also been fined last year, Medicare records released late Wednesday show.
Among the hospitals getting punished for the first time are some well-known institutions, including Stanford Health Care in Northern California, Denver Health Medical […]
The CMS says doctors tending to tens of millions of chronically ill Medicare patients aren’t taking advantage of federal dollars aimed at improving care and reducing hospital readmissions and overall costs.
This year, Medicare began paying an average of $42 per patient per month for non-face-to-face chronic-care management services, such as consulting with other doctors caring […]
A new partnership between Horizon Blue Cross Blue Shield of New Jersey and several major health care systems was unveiled last week with the objective of “radically altering how health care is financed and delivered.
As part of its plans, Horizon intends to offer lower-cost health plans that reward consumers who use select hospitals and doctors in the alliance, […]
In the Medicare and Medicaid Electronic Health Records Incentive Program:
More than $20.9 billion in Medicare EHR Incentive Program payments have been made between May 2011 and July 2015.
More than $9.98 billion in Medicaid EHR Incentive Program payments have been made between January 2011 (when the first set of states launched their programs) and July 2015.
As of July 2015, more than 474,000 health care providers received payment for participating in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. In May 2013, CMS announced that more than half of all eligible health care providers had been paid under the Medicare and Medicaid EHR Incentive Programs.Read more
According to new data released last week by the federal government, every New Jersey hospital except for one will receive penalties for having too many Medicare patients readmitted within a month of being discharged.
Data compiled by Kaiser Health News shows that 63 New Jersey hospitals, some 97% of all hospitals in the state, will be […]
Care providers nationwide are showing strong interest in a shift to value-based care. UnitedHealthcare’s total payments to physicians and hospitals that are tied to value-based arrangements have nearly tripled in the last three years to $38 billion.* By the end of 2018, UnitedHealthcare expects that figure to reach $65 billion.*Read more
UnitedHealthcare recently awarded more than $54 million in bonus payments to more than 4,000 care providers named winners of the PATH Excellence in Patient Service Awards.*
The recipients achieved the highest adherence levels for key quality measures by successfully closing gaps in care when treating UnitedHealthcare Medicare Advantage members.
The PATH program annually rewards physicians who meet […]
As of May 2015, more than 468,000 health care providers received payment for participating in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. In May 2013, CMS announced that more than half of all eligible health care providers had been paid under the Medicare and Medicaid EHR Incentive Programs.Read more