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Hospitals Make Progress on Value-Based Payment Models

The 2020 Industry Pulse Report from Change Healthcare, a technology company that provides data and analytics solutions to improve clinical and financial outcomes, found payers were far more likely than providers to have migrated to value-based care strategies. The survey drew from a sample of 445 respondents — health care payers, providers and third-party vendor organizations — but illustrates some key issues about work remaining on these important issues.
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New AHA Report: Building Value for the Future Through Integration

A new AHA report highlights some of the significant changes and future challenges that impact hospitals and health systems.

Provider and Payer Joint Venture to Advance Value-Based Care

Providers and insurers have been working together for years to align incentives on payment and quality, but Delaware-based ChristianaCare and Highmark Health Options are taking their relationship a step further. They’ve established a 10-year deal to create a new for-profit joint venture company aimed at reducing costs and advancing value-based care.

Humana CMO Evaluates Prospects for Improved Payer-Provider Alignment

Confidence in value-based arrangements has grown during the pandemic, notes William Shrank, M.D., chief medical officer at Humana.

CMS, OIG Finalize Changes to Stark Law and Anti-kickback Statute to Encourage Value-Based Care and Reduce Technical Trip Wires

Summary of two final rules from the Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services Office of Inspector General (OIG) that will modernize and make important changes to physician self-referral (Stark law) and federal Anti-kickback statute (AKS) regulations.
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Special Bulletin: Highlights of HHS Final Regulations to Modernize Stark and Anti-kickback

The Department of Health and Human Services (HHS) on Nov.

Affordability & Value in Health Care | Center

Through The Value Initiative, the AHA Center for Health Innovation offers hospitals and health systems the right levers to improve health care affordability.
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House Leadership Urged to Address Impending MACRA Changes

Nearly 30 representatives encourage House leaders to modify in the next COVID-19 response package impending thresholds for qualifying participants in Advanced Alternative Payment Models, which they said threaten to “derail” the movement to value-based care under the Medicare Access and CHIP Reauthorization Act.

Coalition voices support for bill to strengthen Medicare value-based payment models

Thirteen organizations representing health care providers, including the AHA, voiced support for the Value in Health Care Act, legislation to strengthen Medicare’s value-based payment models and accountable care organizations.