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Category Archives: Payment Reform

CMS Estimates That a One-year Delay of ICD-10 Could Cost Between $1 billion and $6.6 billion

Posted on by CATALYSIS

On Monday, the Senate is scheduled to vote on a bill (HR 4302) that would implement a temporary fix for Medicare’s sustainable growth rate formula and delay the ICD-10 compliance deadline until 2015, The Hill’s “Floor Action” reports. The House-approved “doc fix” proposal, introduced by Rep. Joseph Pitts (R-Pa.), would push back the ICD-10 compliance […]

Medicare Data Show Wide Differences In ACOs’ Patient Care

Posted on by CATALYSIS

A Wisconsin ACO formed by two health systems, Bellin Health and ThedaCare, had the most success in keeping its diabetes patients’ blood sugar levels below the target set by Medicare, the data show. Eighty-four percent of that ACO’s patients hit that target, much better than the average ACO rate of 65 percent.  Just 24 percent of patients with the Accountable Care Coalition […]

Experiments in Wisconsin

Helen Zak, President of the ThedaCare Center for Healthcare Value, discusses key takeaways from the PHPR Summit. Read more to learn about payment experiments happening at healthcare organizations in the state of Wisconsin. Last month, I participated in the first annual PHBR Summit, along with more than 150 other leaders in Milwaukee.  We spent the day sharing […]

Replacing More with Better

Mary Brainerd, of HealthPartners, the largest consumer-governed, nonprofit healthcare organization in the nation, and Patricia Smith, of the Alliance of Community Health Plans, talk about how their organizations are working together to help others make the change from volume to value. Summary: Being a patient can make people feel vulnerable, and that feeling is only […]

A NEW VISION FOR CALIFORNIA’S HEALTHCARE SYSTEM: Integrated Care with Aligned Financial Incentives

Posted on by CATALYSIS

Our nation has embarked on one of the boldest social initiatives in its history: To expand health insurance coverage to nearly all Americans while simultaneously trying to reduce the rate of increase in healthcare spending. The challenge is great everywhere in the country, but especially in CA. We know we need integrated care, value-based payment […]

Healthcare Leaders Gathered in Appleton to Explore Payment Reform

Posted on by CATALYSIS

Healthcare thought leaders, including providers, payers and consultants, gathered in Appleton on April 29 and 30 to explore how they might accelerate progress in payment reform. On April 29 and 30, healthcare thought leaders from Maine to California gathered in Appleton to explore how they might accelerate progress in payment reform. Participants included providers, payers […]