Care Coordination: 2017 in Review

Posted by Cordata Health

January 9, 2018 at 2:02 PM

A Year of Deeper Understanding on the Value of Care Coordination and Management

Saying that 2017 was a busy and consequential year in healthcare would be an understatement. Digital health technology proliferated at an incredible rate. Providers are still figuring out how to adjust to the new mandates for physician reimbursement in Medicare Access and CHIP Reauthorization Act’s (MACRA). The Affordable Care Act was under constant fire from the new administration, with the Republican tax plan effectively eliminating the individual mandate. And value-based care continued to dominate discussions about the future of treatment.

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Topics: Navigation & Care Coordination, Value-Based Care, MACRA

A Quick Overview of Value-Based Care and Payment Models in Cancer Care

Posted by Cam McClellan Teems

May 9, 2017 at 3:24 PM

MACRA. MIPS. APMS. Value-based care. All of these topics can certainly be confusing. Still, CEOs and physicians face largely the same problem: balancing the requirements for so many different fee structures. Fee-for-service and alternative payment models (APMs) will exist simultaneously for quite some time under MACRA. And then there are the merit-based incentive payment systems (MIPS).

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Topics: Cancer Management, Navigation & Care Coordination, Payment Models, Value-Based Care, MACRA

MIPS & APM: Common Concerns and Requirements

Posted by Cordata Health

March 13, 2017 at 1:53 PM

The Issue

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) has introduced another step of the transition toward value-based reimbursements. When the final rule was released last October, many in the healthcare industry were unsure how to move forward in the new landscape.

This new care model includes two reimbursement paths for physicians: the Merit-based Incentive Payment System (MIPS), which consolidates three existing incentive programs rewarding performance and outcomes such as meaningful use, and Advanced Alternative Payment Models (APM) such as the Oncology Care Model (OCM). These new reimbursement measures are based on quality as opposed to the traditional fee-for-service model.

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Topics: Value-Based Care, MACRA

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