A summary of this weeks healthcare economics, payer payments, provider revenue cycle and healthcare industry news. Payspan is the nation’s leading healthcare payments solution connecting over 750 health plans and 1.3 million provider payee connections and is dedicated to empowering our customers with the tools they need to simplify healthcare payments.

Making a Business Case for the Patient-Centered Medical Home

“Transforming primary care practices to patient-centered medical homes (PCMHs) and maintaining National Committee for Quality Assurance (NCQA) recognition cost a large physician network about $2.5 million, or $43,000 per practice, revealed a new study in the Journal of the American Board of Family Medicine.”

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Discover how Payspan’s Patient Financial Engagement solutions can help providers strengthen consumer relationships and accelerate the revenue cycle.

CMS Considers Behavioral Health Alternative Payment Model

“CMS recently announced its intention to develop an alternative payment model targeting behavioral health services. The federal agency is seeking stakeholder feedback on model development in a public meeting on Sept. 8, 2017, in Baltimore.”

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Moving All Medicaid to Managed Care Could Save Billions

“Moving all Medicaid fee-for-service spending to a capitated managed-care model could produce total savings of $63 billion over 10 years, including $35 billion in federal savings, according to a newly released analysis.”

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CMS Releases Quality Payment Program Proposed Rule for 2018

“In all, the government is estimating that nearly two-thirds of eligible Medicare clinicians will be once again exempt from MIPS in 2018”

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6 Ways to Succeed in Value-Based Care

The CEO of Atlantic Health System shares tips for delivering high-value performance:

  • Avoid patient harm
  • Measure what affects your ability to get paid
  • Consider patient experience
  • Measure employee engagement
  • Conduct patient care huddles

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Communication in value-based contracts is key to a successful payer/provider relationship. Payspan’s Quality Incentive Communication System is a customizable solution for streamlining the communication and exchange of information related to quality incentives, care gaps, and medical records. Find out more.

ACA “Skinny Repeal” Dies in Senate, Leaving Next Steps Uncertain

“In the early hours of Friday morning, the Senate failed to pass its attempt at a “skinny repeal” of the Affordable Care Act, which would have eliminated the tax penalties associated with the individual mandate for insurance coverage and the employer mandate to offer insurance to full-time employees.”

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