Blog – Orange Data Peels

15 Measures for Population Health Management

The Institute of Medicine outlined fifteen new core measures it hopes will help the healthcare system achieve better patient outcomes. The intention is to improve transparency and simplify the assessment of population health management. The goals, outlined in the 2015 "Vital Signs" report, include: Access to...

Overwhelming Data Analytics Effect Value-based Care

The emergence of Value-based Care has left many healthcare providers split between the promises and worries of the program. It aims to improve outcomes and financial returns but poses concern about bugs and data gaps. As providers continue to move into this new care paradigm,...

​More Doctors to Retire as MACRA and Value-Based Pay Hit

More physicians are looking to shake things up or get out of the business altogether as new regulations and payment models are in effect. 46% are planning to accelerate their retirement, cut back on patients, or swap out their position for less involved "non-clinical roles."...

​New CPC+ Regions Announced

                As of August 1st, 2016, the CMS now includes 14 more regions to participate in the Comprehensive Primary Care Plus. Also known as CPC+, this new payment plan is a primary care model that allows for easier payments and quality care. This all-new revolutionary structure...

​​Four Options to Ease MACRA Implementation

  As January 1, 2017, draws ever closer – the implementation date for the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 – stakeholders across the country have pleaded to CMS for more time to implement the legislation’s extensive changes. CMS has listened...

​3 Ways CMS is Preparing Clinicians for MIPS

  On October 14, 2016, the Center for Medicare and Medicaid Services (CMS), released its final rule on MACRA (or the Medicare Access and CHIP Reauthorization Act), effectively changing the reimbursement system used in Medicare. The purpose of this shift is to incentivize and pay physicians...

Private Payers Align with CMS to Adopt Value-based Care Payments

As the Centers for Medicare and Medicaid Services (CMS) pushes forward in the shift towards value-based care payment models, private insurance companies are starting to follow their lead. A value-based care payment system is the new alternative to a fee-for-service payment system. Healthcare systems currently operate...

Value-based Care Adoption Receiving Slight Pushback

Increasing numbers of healthcare payers and providers are planning to transition to value-based reimbursement models. However, according to recent studies presented by Health Payer Intelligence, not all healthcare providers are at the same stage of transitioning; many still feel unprepared and uneducated about CMS MACRA legislation. In...

Value-based Care Models Reliant on Patient Adherence and New Technologies

Under new value-based care models, health care organizations across the U.S. are up against new challenges when it comes to developing practices that ensure costs are well-managed. Post-acute care organizations are just as much involved in these challenges as acute caregivers in ensuring high-quality patient...

Implementation of Value-Based Care Models on the Rise

Looking at surveys from 2016, the rise of value-based care reimbursement contracts seems clear as payers and providers alike are adopting this new payment option. Specifically, the data from a recent survey conducted by ORC International and McKesson supports this forward momentum, showing that, among...