Payment Transformation

Expert Insights

Toward Accountable Payment

Blog | Health Care Advisory Board

Read the official blog of the Medicare Payment Innovation Project, highlighting our experts’ latest insights and analysis of the transition to accountable payment models.
Medicare’s advanced payment model: Details and implications for independent medical groups

December 22, 2011 | Blog Post | Health Care Advisory Board

Learn about the strategic implications of the Advanced Payment Model, a new Innovation Center program providing physician-centric ACOs with sizable upfront and ongoing financial support.
Demystifying the mechanics of bundled payments

November 18, 2011 | Blog Post | Health Care Advisory Board

We explore the payment mechanics of emerging bundled payment models, including the differences among pricing bundles, retrospective reconciliation, and gainsharing within a bundled payment program.

The Medicare Shared Savings Program Rulebook

November 29, 2011 | Study | Health Care Advisory Board

Review key provisions, including the method of patient assignment to ACOs, performance measures considered, method of bonus calculation, and application process.
Succeeding Under Bundled Payments

January 18, 2011 | Study | Health Care Advisory Board

Evaluate the strategic implications of accepting bundled payments and explore lessons for collaborating with physicians, post-acute care providers, and patients to thrive in a bundled payment environment.
The Pioneer ACO Model

May 1, 2011 | Study | Health Care Advisory Board

Review key aspects of the Pioneer ACO Model and eight conclusions from the program's request for applications.

Customized Medicare Value-Based Purchasing Impact Assessment

February 9, 2011 | Tool | Financial Leadership Council

Estimate the potential revenue impact of your institution's quality performance under the methodology presented in CMS's hospital inpatient value-based purchasing program proposed rule.
Accountable Care Diagnostic

November 16, 2010 | Tool | Health Care Advisory Board

Assess your organization’s ability to deliver on the core competencies of accountable care within the context of your market’s relative demand.
Inpatient Bundled Payment Impact Calculator

October 20, 2010 | Tool | Financial Leadership Council

Construct bundled payments based on several key user-defined inputs and estimate the financial impact on both hospitals and physicians.

The field guide to Medicare payment innovation

May 29, 2012 | Infographic | Health Care Advisory Board

Explore our overview and assessment of the major Medicare programs accelerating the transition to accountable care.
Three reasons to reconsider Shared Savings

November 11, 2011 | Video | Health Care Advisory Board

Rob Lazerow outlines differences between the proposed and final Shared Savings rules. See why the new ACO model is much more attractive.
The Medicare Shared Savings Program: Final Rule

November 1, 2011 | On-Demand Webconference | Health Care Advisory Board

Explore key aspects of the final rule for the Medicare Shared Savings Program, including eligibility criteria, methods for patient attribution and bonus calculations, the role of clinical quality requirements, and the application process.

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ICD-10

Consulting services and business intelligence technology to help hospitals and health systems make the transition to ICD-10.

Revenue Integrity Compass

Technology-powered solution that helps hospitals and health systems protect revenues from audit activity, address underpaid claims, and systematically remedy clinical documentation issues.

Medicare Payment Innovation Project

Peer working group for providers who are preparing for or participating in Medicare demonstrations, pilots, or programs that evaluate emerging payment models.