Using social risk adjustment in Medicare’s Hospital Readmissions Reduction Program (HRRP) helped reduce differences in risk-adjusted readmissions and penalties between safety-net hospitals and...
Over half of Shared Savings Program ACOs earned payments for their quality and cost performance in 2021, according to new data from CMS.
The federal agency reports that ACOs in the Medicare Shared...
Primary care practices in Medicare’s Comprehensive Primary Care (CPC) and CPC+ models made meaningful care delivery changes compared to non-participating practices, making the case for...
The transition to value-based payment is moving at a snail’s pace despite healthcare’s long journey with the transition away from fee-for-service, new survey data indicates.
Value-based...
The Radiation Oncology Model has been delayed indefinitely under a final rule released by CMS on Thursday.
The alternative payment and care delivery model for cancer care aims to improve quality of...
CMS is pushing for more value-based reimbursement, this time for nursing home Medicaid payment.
The federal agency has sent an informational bulletin to states urging them to tie Medicaid payments for...
Dialysis facilities required to participate in Medicare’s End-Stage Renal Disease Treatment Choices (ETC) model had a lower prevalence of transplantation waitlisting, living donor...
Alternative payment models that put financial risk on healthcare providers improved care quality for patients with diabetes more so than fee-for-service and incentive payment programs, according to a...
Kenneth L. Davis, MD, believes that keeping patients healthy and ultimately out of the hospital is the key to making healthcare more affordable. That is why he is leading one of the nation’s top health systems down the path of...
Hospitals that had more local access to post-acute care services, such as primary care physicians and skilled nursing facility (SNF) beds, had lower thirty-day hospital readmission rates compared to...
An internal analysis of three CMS Innovation Center models revealed instances of implicit bias in healthcare, which disproportionately impacted people of color and low-income individuals.
CMS...
The Biden Administration recently announced a new alternative payment model from the CMS Innovation Center that will focus on improving cancer care quality and total cost of care around treating the...
CMS recently proposed the Calendar Year 2023 End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) Proposed Rule, which would boost Medicare reimbursement for ESRD facilities and refine a new...
The Comprehensive End-Stage Renal Disease (ESRD) Care (CEC) Model reduced Medicare payments and hospitalizations among beneficiaries with ESRD, suggesting that specialty-oriented accountable care...
The American Hospital Association (AHA) has recommended changes to the CMS Radiation Oncology (RO) Model following the agency’s decision to delay the model’s start date.
In a letter to CMS...
Although some home-based care professionals are still unsure about the impact value-based care has had on their organizations, over four in 10 home healthcare providers expect value-based contracts to...
California residents and health systems saw lower healthcare costs and higher clinical quality when providers and payers shared financial risk, according to data from the Integrated Healthcare...
The COVID-19 pandemic changed how healthcare organizations approach care delivery, but the industry needs more efficient and transparent data sharing methods to accelerate provider transition to value-based care models.
Providers and...
Value-based payment programs tie healthcare reimbursement rates to quality care by offering providers incentive payments to meet specified quality measures during and after healthcare delivery.
As the industry moves away from...
Value-based payment models that shared five-year expected savings offered stronger incentives for clinicians to implement preventive interventions for postpartum depression compared to models that...
