RevCycle Intelligence January, 2018
The transition to value-based care requires a familiarity with revenue cycle analytics and population health management techniques.
The hospital industry has been experiencing a number of challenges in recent years due to the payment reforms coming from the Centers for Medicare & Medicaid Services (CMS) and commercial health payers.
There has been a much greater push toward value-based care reimbursement and away from fee-for-service payment programs. This has led to the development of bundled payment contracts, accountable care organizations, and CMS projects such as the Comprehensive Care for Joint Replacement Model.
However, hospitals, clinics, and other medical facilities have become accustomed to the fee-for-service payment system and revenue cycle managers are finding it complex to transition to value-based care reimbursement....
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