Adjunct urethral suspension use with laparoscopic radical prostatectomy did not change after CMS implemented Medicare payment policy changes that decreased reimbursement for prostatectomies, according...
The End-Stage Renal Disease Treatment Choice (ETC) model did not increase home dialysis rates, despite the financial incentives it provides clinicians to offer this type of care, according to a study...
Clinicians participating in alternative payment models must keep a close eye on the cost of care. However, that is not at the expense of novel anticancer drug use in the Oncology Care Model (OCM), a...
Accountable care organizations (ACOs) that serve a high proportion of racial and ethnic minorities were more likely to exit the Medicare Shared Savings Program (MSSP) compared to ACOs serving mostly...
More than 800 accountable care organizations (ACOs) and healthcare associations, including the National Association of ACOs (NAACOs) and American Medical Association (AMA), have asked Congress to...
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...
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...
Mental healthcare is costly for both Medicare and its beneficiaries, but ACO participation may help reduce the expenses for those facing serious mental illness, according to a new study published in...
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...
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...
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...
Home-based care initiatives were common among accountable care organizations (ACOs), but ACO leaders cited the lack of return on investment as a barrier to expanding these services, according to a...
