In the News

This startup wants your doctor to be paid for making you healthier

May 18, 2018 | Michael Hines “Quality over quantity” is an adage many live by. The American healthcare system? Not so much. Payformance Solutions is trying to change that. It’s developed technology that makes it easier to move away from the traditional fee-for-service healthcare payment model and toward the quality-focused “value-based care” model. Bringing change […]

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Murphy orders state to take over health exchange management

May 15, 2018 | Vince Calio New Jersey will manage the health insurance exchange under the Affordable Care Act during the 2019 health insurance enrollment period. Gov. Phil Murphy, in a letter sent to the Centers for Medicare and Medicaid Services, said the state will take over management of New Jersey’s Affordable Care Act marketplace, […]

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Uninsured Rate Rises in 17 States in 2017

Dan Witters | May 9, 2018 Source: STORY HIGHLIGHTS Four-year trend of state uninsured rate reductions reversed in 2017 First time since 2014 that no states had a lower rate than previous year States that enacted Medicaid expansion had larger reductions since 2013 WASHINGTON, D.C. — The uninsured rate rose by statistically significant margins in 17 states […]

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Verma: Patient Care, Payment Design Need Value-Based Reforms

Thomas Beaton | May 08, 2018  Changes to patient care and payment design are required to further the progress of value-based care reforms within the healthcare industry, said CMS Administrator Seema Verma in a speech to the American Hospital Association (AHA). During the AHA’s Annual Membership Meeting, Verma stressed that CMS is dedicated to promoting […]

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Expert tips for incentivizing physicians to embrace value-based care

By Jeff Lagasse | April 30, 2018 In order to change the way care is delivered, an individual outfit needs to have a sufficient percentage of its practice in a value-based world. Physicians, doctors and other hospitalists are operating in a healthcare industry that is steadily moving away from reimbursement schemes based on sheer volume and […]

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Out-of-network bill passes both houses, heads to Murphy

By Anjalee Khemlani Trenton | Apr 12, 2018 at 4:36 pm Protections for some patients who get slammed with surprise out-of-network bills for interacting, unintentionally, with out-of-network providers, is close to the finish line in New Jersey. After eight years, the bill passed both the Assembly and Senate on Thursday. The bill, if signed by […]

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