Value-based purchasing—tying payment to outcomes, not volume—has become the cornerstone of CMS efforts to improve quality of care while reducing costs. Value-based purchasing (VBP) has financial rewards for hospitals; it also carries risk. As hospitals earn higher performance scores, and incentive payments are earned based on these scores, what happens when hospitals reach their improvement […]
“The book on U.S. health reform is not yet written. ACA [Accountable Care Act] is a chapter. The market will write others. What’s clear is that the affordability of health care—costs—is a theme that will run through each. It’s time to get serious about costs. To avoid the discussion is to guarantee the demise of […]
In a recent article by Peter Katz, Esq., “Medicare Fraud Strike Force: Past, Present and Future,” he noted, “The last four and a half years have seen a meteoric rise in healthcare fraud prosecutions around the country, primarily due to the Medicare Fraud Strike Force. Its ability to blend investigative and prosecutorial techniques, act quickly […]