The Centers for Medicare & Medicaid Services make SEP-1 sepsis care bundle a pay-for-performance measure. The inclusion of the Severe Sepsis and Septic Shock Management Bundle (SEP-1) into Medicare's ...

When I read my first SNF PPS final rule about 25 years ago, I thought that the start dates for some of its initiatives were so far in the future that they were of no concern. As a young person, my ...

With the recent Supreme Court ruling on the Patient Protection and Affordable Care Act, there is little doubt that CMS’ Hospital Value-Based Purchasing program will come to fruition. As the October 1, ...

Hospitals across the board have adopted at least one value-based care model, covering almost half of their patient populations, as healthcare continues its push away from fee for service. But only 29% ...

“Value-based care” (VBC) is one of the most frequently cited goals in U.S. healthcare reform — yet its meaning remains frustratingly vague and often contradictory. We hear that value-based care is the ...

Health may be priceless, but healthcare is not. With medical costs on the rise, insurance companies and government payers are increasingly asking pharmaceutical companies and device manufacturers to ...

During the CMS Health Equity conference, the “Implementing Health Equity Through Value-Based Care for People in Medicare” session featured a series of expert speakers who shared insights on pioneering ...

Editor’s note: This article by Tony Mira, president and CEO of Anesthesia Business Consultants, an anesthesia & pain management billing and practice management services company, originally appeared in ...

RICHMOND, Va — Why is Virginia's Medicaid agency awarding the state's lowest quality nursing homes millions of dollars in bonus payments that are meant to reward quality? That's the question some ...

RICHMOND, Va. — Virginia's Medicaid agency awarded the state's lowest quality nursing homes millions of dollars in bonus cash meant to reward quality. While critics point to that fact as proof the ...