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Marshfield's plan; Rurals brace for MACRA; Obama asks for help

Running its own health plan has allowed Marshfield Clinic to design a value-based reimbursement model that rewards physicians for quality, clean coding and cost maintenance.
Point-of-care analytics driving improvements in care. Access case study now >>

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Your Daily Dose of Healthcare Finance  Ι   September 20, 2016  Ι  Volume 11  Ι  Forward this Issue to a Friend
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Marshfield's master plan
Running its own health plan has allowed Marshfield Clinic to design a value-based reimbursement model that rewards physicians for quality, clean coding and cost maintenance.
The rise of the provider-sponsored health plan
While value-based care is making the move more attractive, getting an insurance product off the ground isn't the easiest.
25 biggest provider-sponsored health plans
Health system-owned plans now represent 52 percent of health insurance products, AIS said.
Rural practices brace for MACRA
With the reporting and tech burdens high even by large provider standards, solo and small group practices are preparing for a rough entry.
Worries linger despite MACRA 'Pick Your Pace'
While the plan is heralded by many as the flexibility providers and advocates have been pleading for, a lot still remains unknown.
CMS offers flexibility on MACRA
With the Quality Payment Program under MACRA set to begin on January 1, 2017, CMS is offering clinicians four options to comply and avoid a negative payment adjustment in 2019.
Obama asks insurers for help
President says signing up younger and healthier enrollees improves the risk pool.
McKesson CMO: Transparency crucial to value-based reimbursement
Administrators and clinicians must work together so providers can understand their role, where they can make an impact, Michael Blackman, MD, says.
Study: Chargemasters still leveraged by hospitals
A higher chargemaster price can increase the payment from private insurers, which often pay for outpatient and ancillary services based on discounted chargemaster prices.
Michigan system makes history with debt restructuring
Transaction is expected to cut more than $10 million in annual interest, lead to gains of $125 million in present value savings, system says.
Slideshow
New deals added to 2016 M&A list
While 2015 was a record-breaking year in healthcare mergers and acquisitions, 2016 is also poised for more change as organizations across the industry adjust and adapt to the evolving financial landscape.
CDC: 9 things hospitals must know about Zika
The Centers for Disease Control and Prevention is recommending that healthcare systems, including urgent care, hospitals and physician offices, prepare for patients seeking a diagnosis or symptom management.
Popular Content
Medicare Advantage gets providers safely into risk
Managers attack mid-cycle losses
Physician: MACRA compliance is unethical
Point-of-care analytics driving improvements in care. Access case study now >>
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White Paper: On-Demand Webinar: Documenting, Coding and Reporting HAIs
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