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ACOs that started in the Medicare Shared Savings Program’s Track 1 in either 2012 or 2013 must determine whether to move to a risk-based model by their third contract periods, which begin in 20191. A number of the MSSP ACOs are making strides in improving quality, reducing hospitalization and waste in Medicare. The Centers for […]

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Publications | The Wharton Healthcare Quarterly PDF Logo Available also at https://www.whartonhealthcare.org/fee_for_service_to_value_s_part_3_part_b

Publications | HFMA hfm PDF Logo Available also at http://www.hfma.org/Content.aspx?id=60617&utm_source=Real%20Magnet&utm_medium=email&utm_campaign=126084056

The HFMA Annual Conference is the industry’s premier event for hands-on learning where executives from across the nation gather to solve complex issues, interact with peers and industry leaders, and get the tools they need to influence change and address challenges. This year's programming features new learning tracks and session formats that will amplify the power of networking and collaboration to facilitate deeper learning and greater innovation.
Presenter: Carla D'Angelo and Anush Gevorgyan

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2018 has been a year of uncertainty in federal and state health policy, particularly with respect to population health. Despite increasing complexity and ambiguity, most markets continue to move toward various forms of value-based payment (VBP). However, most health systems and physicians continue to operate in pluralistic payment environments, defined by having a portion of […]

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Delegated IPAs and medical groups in California provide valuable health care services to millions of Medi-Cal Managed Care, Medicare Advantage and Commercial Health Maintenance Organization (HMO) members. These “pioneer” providers practiced population health management before it gained industry currency and have utilized outcomes-based payment to incentivize provider innovation for decades. Risk-bearing medical groups and IPAs […]

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Health care is in a tumultuous time and what’s for certain is that nothing is for certain. The passing of the recent Tax Cuts and Jobs Act of 2017 (TCJA) has broad but still not completely understood implications for the business community and economy, including non-profit health hospitals and health care systems, generally adding more […]

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  Health care providers in Texas continue to work diligently to improve care delivery systems to all patients through Medicaid 1115 waiver transformation initiatives, specifically focusing on the Medicaid and low-income uninsured populations. The work of the Anchors and Delivery System Reform Incentive Payment (DSRIP) program providers in 2017 and previous years is evident in […]

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