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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
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
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
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
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
The Ancient Practice of Credentialing Medical credentialing dates back to Persia in 1000 BC, as outlined by the Cult of Zoroaster. In ancient Persia, to qualify for licensure, a physician had to treat three heretics — if they lived, that
The Consumer Assessment of Healthcare Providers & Systems (CAHPS) for the Merit-based Incentive Payment System (MIPS) may be an optional quality measure for many physicians and facilities, but it can be a great tool to discover what your patients think
Benefits of E-Prescribing You glance down at your notes before walking into the room. You see Jane’s name on the chart and smile as you remember that she is a sweet little girl with four adorable, albeit rambunctious brothers. As
Best Practices for Patient Scheduling Patient scheduling is an art. On one hand, you want to maximize your care team’s productivity and see as many revenue-generating patients as possible. On the other hand, you want to avoid long patient wait
It’s no secret that the healthcare landscape is changing. Increasingly, there’s a focus on delivering better health outcomes more efficiently and at a lower cost. With healthcare reimbursement shifting towards a “pay for performance” model and an increased focus on
