What is the Medicare Shared Savings Program (MSSP)?
Medicare Shared Savings Program (MSSP) Provide high-quality, coordinated care to improve outcomes and reduce costs. That’s the primary goal of the Medicare Shared Savings Program (MSSP). The MSSP is an alternative payment model in which eligible providers, hospitals, and suppliers are rewarded for achieving better health for individuals, improving population health, and lowering growth in […]
Healthcare 101: How Healthcare Reimbursement Works?
In most industries, paying for a service or item is straightforward. You see the price, make the payment, and receive the item or service. The entire transaction takes a matter of seconds. Healthcare reimbursement is far more convoluted. The biggest difference between healthcare and other industries is that providers are paid after services are rendered. […]
What is an Accountable Care Organization (ACO)?
ACCOUNTABLE CARE ORGANIZATION (ACO) The healthcare industry is evolving from better quality care, availability, and lower cost. One of the significant shifts over the last several decades has been from traditional fee-for-service models focused on volume to value-focused models. Centers for Medicare and Medicaid Insurance (CMS) found that accountable care organizations (ACOs) were a way […]
ACO vs PCMH: What is the difference?
Health IT Analytics recently reported that Blue Cross Blue Shield Association’s (BCBSA) value-based care programs, namely it’s accountable care organizations (ACOs) and patient-centered medical homes (PCMHs), are earning impressive marks in care and cost quality metrics. Launched in 2015, BCBSA’s Blue Distinction Total Care Program – the umbrella program for BCBSA’s ACOs and PCMHs – […]
What is Clinical Integration?
Clinical integration is a big buzzword, and it plays a large role in a healthcare market that continues to shift towards rewarding providers and health systems that can effectively manage the health of populations instead of just treating those populations when they are ill. But what does it mean? And how does clinical integration differ […]
5 Methods for Improving Patient Experience
The patient experience begins long before someone steps into the examination room. From the moment someone finds your practice to when they leave, ensuring a good experience is a high priority for medical offices. As the healthcare industry shifts toward a value-based model, it is imperative that medical practices assess their current process and work […]