Health may be priceless, but healthcare is not. With medical costs on the rise, insurance companies and government payers are increasingly asking pharmaceutical companies and device manufacturers to ...

CEO compensation data are from fiscal year 2017 Internal Revenue Service 990 forms. Medicare value-based purchasing data are from fiscal year 2017. Exhibit 1 reveals several key points. First, there ...

Led by UPMC Health Plan's Chief Medical Officer, William Shrank, MD, and Chief Pharmacy Officer, Chronis Manolis, RPh – both of whom are nationally-recognized experts in pharmaceutical outcomes ...

The rising cost of healthcare in the U.S. is a major concern. With historically low unemployment in an inflationary environment, the need to compete for top talent remains critical and impacts the ...

CMS recently issued final rules for its value-based purchasing program for hospitals. Beginning in fiscal year 2013, which starts on Oct. 1, 2012, CMS will offer hospitals an incentive payment for ...

Many health systems are expanding value-based care strategies and taking a more nuanced approach to the site of service for care, but Dallas-based Tenet Healthcare warned investors that the “trend ...

The FFS claims submission process is still the primary means for capturing the broader encounter data needed for VBP analysis and payment. Value-based purchasing (VBP) has been part of the national ...

During the past two decades in the United States, all major payer types—commercial, Medicare, Medicaid, and multipayer coalitions—have introduced value-based purchasing (VBP) contracts to reward ...

Although 30-day mortality rates did not worsen for Medicare beneficiaries at hospitals with high proportions of Black patients compared with other hospitals, gaps in outcomes widened for Black adults ...

With healthcare enrollment currently underway at most companies, looking into cost-effective ways to provide healthcare benefits in the future makes sense. A recent article from the Business Group on ...

While some nursing homes have earned incentive pay for reducing their hospital readmissions, the decade-old program that pays for those bonuses has not led to any widespread improvements, a ...

When I read my first SNF PPS final rule about 25 years ago, I thought that the start dates for some of its initiatives were so far in the future that they were of no concern. As a young person, my ...