The delivery and payment of care will look a lot different by 2030, according to CMS. The federal agency has announced that it expects all Medicare beneficiaries with Parts A and B to be in a care...
Hospitals and health systems can implement value-based payment models to ensure preparedness for seasonal and pandemic capacity surges, according to industry experts.
Hospitals experienced increased...
An all-payer model that puts caps on hospital spending has slowed surgical spending and the rate of avoidable complications across major surgical procedures, according to a recent study published in...
In August 2020, Aetna and Cleveland Clinic announced an innovative product for employers in Northeast Ohio. The two leading healthcare organizations partnered to form an accountable care organization...
Advanced primary care tied to a person-level payment model is key to improving outcomes and reducing costs, at least according to the Duke Margolis Center for Health Policy and Morgan Health, a new...
Starting the transition from fee-for-service to value-based care is a challenge. Many provider organizations are simultaneously juggling new reimbursement models with old ones and breaking...
High quality, patient-centered care requires a hybrid primary care payment system that encourages value-based care and physician quality assurance, according to an opinion article published recently in...
Telemedicine use skyrocketed among primary care practices during the pandemic, specifically for those with a value-based payment model, according to a research letter published in JAMA Health...
The National Institutes of Health (NIH) awarded a $3 million grant to Sarah Goff, MD, PhD, a health services researcher at the University of Massachusetts Amherst, to study the effects of accountable...
In a study of over four million Medicare beneficiaries, researchers found that the Comprehensive Care for Joint Replacement (CJR) model may be widening racial and socioeconomic health disparities in...
The Community Care Transitions (C-CAT) clinical trial, recently published in JAMA Network Open, matched Massachusetts General Hospital (MGH) patients insured by accountable care organizations with...
Radiologist involvement in Medicare Shared Savings Program (MSSP) accountable care organizations (ACOs) has increased significantly in recent years, showing promise for increased specialist...
CMS announced it will be reweighting the cost performance category under the Merit-Based Incentive Payment System (MIPS) from 15 percent to zero percent for the 2020 performance period to provide...
High-quality primary care implementation requires significant healthcare payment reform, expanded telehealth capabilities, and team-based care, according to a recent report from the National...
In a recent survey, physicians were asked if and how the four evaluation components of the Merit-based Incentive Payment System (MIPS)—quality, promoting interoperability, improvement...
Hospitals that are for-profit, non-teaching, and/or located in the South administer the highest rates of low-value care among traditional Medicare beneficiaries, according to a new study published in...
The healthcare system is at a critical point in its transition to value-based care a decade after implementation of the Affordable Care Act and its Center for Medicare and Medicaid Innovation (CMMI),...
In a letter to HHS, the National Association of Accountable Care Organizations (NAACOS) recommended that the agency promote significant ACO growth after several years of policies have hampered...
A CMS-run care delivery model focused on addressing social determinants of health has effectively identified higher cost and utilization patients while reducing potentially unnecessary emergency...
Low-value care spending among fee-for-service Medicare recipients dropped slightly from 2014 to 2018. However, two of the three services that make up the majority of low-value healthcare spending,...
