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Impact of star ratings on provider demand

Healthcare ECONOMIST

For years, Medicare and other payers have used quality measures to evaluate the quality of care patients receive at various types of providers settings (e.g., hospital, home health agencies, skilled nursing homes). Typically, value-based payment systems include additional bonus payments for high quality providers.

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P3Care Investigates: QPP MIPS 2021 Proposed Rules

p3care

For instance, CMS asks physicians to focus on the quality of care rather than the volume of patients. However, with the pandemic, there was no choice left other than catering to the volume of patients while being careful and value-driven to every extent possible. Quality Category: Weighs 50%.

Medicare 243
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Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

John observes that organizations that have moved in the direction of value-based care — like Advocate, with 500,000-plus covered lives in capitated models — have made significant cultural and technological investments. Physician organizations seem to be able to do this more easily than hospital-led organizations in most cases.

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Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

John observes that organizations that have moved in the direction of value-based care — like Advocate, with 500,000-plus covered lives in capitated models — have made significant cultural and technological investments. Physician organizations seem to be able to do this more easily than hospital-led organizations in most cases.

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Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

John observes that organizations that have moved in the direction of value-based care — like Advocate, with 500,000-plus covered lives in capitated models — have made significant cultural and technological investments. Physician organizations seem to be able to do this more easily than hospital-led organizations in most cases.

article thumbnail

Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

John observes that organizations that have moved in the direction of value-based care — like Advocate, with 500,000-plus covered lives in capitated models — have made significant cultural and technological investments. Physician organizations seem to be able to do this more easily than hospital-led organizations in most cases.

article thumbnail

Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

John observes that organizations that have moved in the direction of value-based care — like Advocate, with 500,000-plus covered lives in capitated models — have made significant cultural and technological investments. Physician organizations seem to be able to do this more easily than hospital-led organizations in most cases.