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Value Based

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Value Based
Value Based

Value-based Purchasing: What is it?

By

Scott Hodgin

|

January 26, 2018

Value-based purchasing (VBP) is a methodology of healthcare payment reform that focuses on paying providers for quality and value, not just volume. Sometimes referred to as “pay-for-performance” (P4P), value-based purchasing is becoming the new normal in healthcare, linking provider reimbursements to quality measures and cost-efficiency. The traditional fee-for-service (FFS) payment model is “morphing” into alternative payment models (APMs) that increase provider accountability for both quality and total cost of care, while requiring a greater focus..

Value Based

The Five Conceptual Templates for Value-Based Reimbursement

By

Scott Hodgin

|

January 26, 2018

The healthcare industry is in the middle of a payment structure overhaul. The conventional fee-for-service (FFS) reimbursement model is slowly being replaced by an assortment of value-based reimbursement (VBR) models aimed at encouraging healthcare providers to deliver the best quality care at the most reasonable cost, thus improving the overall value of care. In January 2015, the Department of Health and Human Resources (HHS) announced its intention to link 50% of all traditional Medicare payments to value-based reimbursement models by...

Value Based

Quality Over Quantity: What Value-based Care Means for Providers

By

Scott Hodgin

|

January 26, 2018

The age of value-based healthcare is here, and the Centers for Medicare and Medicaid Services (CMS) has taken the lead in healthcare delivery and reimbursement reform. The strategy is driven by a three-part aim to offer better quality health, to improve patient healthcare experiences, and to deliver services at lower costs. CMS has designed an array of care programs and payment models that are meant to shift the focus of healthcare from volume-based care to value-based care, to change the mindset of providers in today’s healthcare system to focus on quality over quantity. However, this change is not a “light switch” type of adjustment, where providers can...

Value Based

Value-based Care vs Fee-for-Service

By

Scott Hodgin

|

January 26, 2018

The healthcare industry is experiencing a transformation involving reimbursement payment models. The conventional fee-for-service (FFS) reimbursement model is slowly being replaced by the concept of value-based care, a reimbursement methodology that challenges the “volume-based care” associated with fee-for-service...

Value Based

How Value Based Care Differs From Traditional Care

By

Scott Hodgin

|

January 26, 2018

With the proposal and implementation of the Affordable Care Act in 2010, lawmakers searched for ways to reduce the national deficit. Baby boomers would soon be entering retirement age, and the costs of caring for the elderly and disabled Americans were expected to soar. Medicare became...

featured posts
Fee For Service

Capitation vs. Fee-for-Service

As the current U.S. healthcare environment trends toward value-based care, the fee-for-service (FFS) reimbursement model is under intense scrutiny, often labeled as an antiquated payment model that promotes over-utilization by physicians and patients, while creating fragmentation among healthcare service...

Protected Health Information (PHI)

How Compliance Relates To PHI (Protected Health Information) In an Office Setting

And there are several of the most common violations for this. There's a list of them. And most offices don't realize that they may be out of compliance...

Value Based

Value-based Care vs Fee-for-Service

The healthcare industry is experiencing a transformation involving reimbursement payment models. The conventional fee-for-service (FFS) reimbursement model is slowly being replaced by the concept of value-based care, a reimbursement methodology that challenges the “volume-based care” associated with fee-for-service...