Category Archives: Payment Reform

ThedaCare Center for Healthcare Value Welcomes Rachel Regan

Posted on by CATALYSIS

For Immediate Release For more information contact: Nicole Singer [email protected] (414) 270-3000, ext. 231 ThedaCare Center for Healthcare Value Welcomes Rachel Regan Regan to lead payment initiatives at the Center Appleton, Wis. (Sept. 30, 2014) – Rachel Regan has joined the ThedaCare Center for Healthcare Value as the program manager of payment initiatives, a new […]

Bellin-ThedaCare HealthCare Partners Ranked #1 in Quality in the Pioneer ACO Model Program

Posted on by CATALYSIS

The Centers for Medicare & Medicaid Services (CMS) today issued quality and financial performance results for its two Accountable Care Organizations (ACO) programs, showing the ACOs have successfully improved the quality of care for Medicare beneficiaries by fostering greater collaboration between doctors, hospitals, and health care providers and keeping patients healthy rather than treating them […]

Legislation Introduced to Sharpen the Focus on Value-Based Healthcare

Posted on by CATALYSIS

A new bipartisan bill was recently introduced that builds upon the premise of the ACO’s (Accountable Care Organization) model in which provider reimbursement is shifted from fee for service to financial incentives based on improved patient health outcomes.  The new bill offers more tools and incentives than the original ACO model. For more details read […]

More Organizations Set to Explore Value-Based Payment Programs With Medicare

Posted on by CATALYSIS

Medicare is expanding its bundled payment program, called Bundled Payments for Care Improvement. Candidates from hospitals and medical groups apply to be a part of the test program and are [financially] rewarded after reducing costs. Currently, there are 243 candidates who have signed up to test the program.  CMS aims to add 4,100 candidates to […]

Dayton Physicians Network Cuts Cost in Payment Trial

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Moving away from fee-for-service is widely agreed upon as the only way to improve healthcare value.  Read about the successful outcome of a 3-year trial between Dayton Physicians Network, an oncology group based in Ohio and insurer UnitedHealthcare.   Physicians in the pilot received  bundled payments to cover the cost of their patients’ entire course of […]

Report to the President on Better Health Care & Lower Costs

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In May 2014, The President’s Council of Advisors on Science and Technology issued a Report to the President on Better Health Care and Lower Costs: Accelerating Improvements Through Systems Engineering.  The report discusses “systems engineering” as the approach to improve healthcare. Two organizations that have embraced lean (or “Toyota Production System”, as it is referred to […]

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

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

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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 […]