CMS is transitioning more specialty care to value-based reimbursement with two new alternative payment models for end-stage renal disease and cancer care.
A final rule released late last week unveiled...
CMS is making major changes to Bundled Payments for Care Improvement (BPCI) Advanced next year to stop the model from generating financial losses of close to $2 billion over the model’s ten...
Nearly half of healthcare executives said 10 percent or less of their organization’s revenue came from risk-based contracts in 2019 despite expectations that financial risk in healthcare would be...
Global capitation payments provide strong incentives for primary care physicians to achieve key quality metrics, including cancer screening and medication review, UnitedHealth Group concluded from new...
Alternative payment models (APMs) are taking steps to improve behavioral health, but the models need more to make large strides, according to a study from the University of Washington and Harvard...
A bipartisan bill introduced late last week aims to increase alternative payment model (APM) participation by making “commonsense changes” to the Medicare Access and CHIP Reauthorization...
CMS should keep the 2021 application cycle for the Medicare Shared Savings Program (MSSP) open and implement other changes to the program to protect providers from excessive costs incurred during the...
A Medicaid alternative payment model in Oregon reduced utilization of imaging and other traditional primary care services among community health centers by about 42 percent, according to an Oregon...
Accountable care organizations (ACOs) and patient-centered medical homes (PCMHs) both saved money compared to standard care, but combining the alternative payment and care delivery models did not lead...
Hospitals and physician group practices (PGPs) participating in the first two cohorts of the Bundled Payments for Care Improvement (BPCI) Advanced have a good chance of reducing episode payments....
Article updated 06/24/2020 to include a statement from the National Association of ACOs.
Health disparities proven by Medicare claims data during the COVID-19 crisis underscore the need to transition...
In CareMount Health Solutions’ first year as an accountable care organization (ACO) in Medicare’s Next Generation ACO Model, the organization was one of 38 participants to earn shared...
As healthcare providers continue to respond to the COVID-19 crisis, CMS is granting key flexibilities to participants in alternative payment models (APMs) managed by the agency’s Innovation...
There were more physician-led accountable care organizations (ACOs) than hospital-led ACOs by 2018, according to a study from Leavitt Partners.
Physician-led ACOs accounted for approximately 45...
Healthcare providers participating in alternative payment models leveraged their value-based care capabilities to safely manage the COVID-19 crisis, a new survey showed.
For more coronavirus updates,...
Physician groups did not reduce their share of vulnerable patients after joining an accountable care organization despite claims of the opposite, a new study from the Perelman School of Medicine...
More than half (56 percent) of accountable care organizations (ACOs) taking on downside risk through the Medicare Shared Savings Program (MSSP) are considering exiting the program due to concerns that...
Value-based reimbursement is frequently cited as healthcare’s silver bullet. Changing the way providers are incentivized to deliver care can alter care delivery, placing the focus on...
Alternative payment models (APM) primarily run by Medicare have generally produced modest savings and quality improvements. However, popular APMs including accountable care organization (ACO) and...
CMS announced it selected 205 applications who will participate in the Emergency Triage, Treat, and Transport (ET3) Model, a payment model that ensures beneficiaries’ access to emergency...
