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...
Dozens of physician and hospital groups are seeking another opportunity to sign up for the new directing contracting model days after the CMS closed down applications for future cohorts.
The agency...
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),...
A group of leading healthcare industry groups are calling on HHS to provide more full-risk accountable care organization (ACO) model options, including an extension of the popular Next Generation ACO...
CMS has announced that it will not be soliciting any more applications for the Global and Professional Direct Contracting Models slated to launch on January 1, 2022.
Organizations that had already...
The Centers for Medicare and Medicaid Services (CMS) has opened applications for the second cohort of the Primary Care First (PCF) value-based payment model which seeks to drive down costs and increase...
CMS has shared the final list of 184 public and private ambulance providers and suppliers selected to participate in the agency’s Emergency Triage, Treat, and Transport (ET3) Model, an...
Incorporating clinical data into risk stratification could improve the accuracy of CMS bundled payment models like the Oncology Care Model (OCM), according to a new Avalere analysis.
The OCM is a...
The Biden administration has paused several prominent value-based reimbursement models run by the CMS Innovation Center (CMMI) to review model details, according to several updates provided on model...
Physicians want three things, according to Anthony Valdés, President of Collaborative Health Systems, and those are to deliver great clinical outcomes, get paid fairly for that...
When hospitals in the Hospital-Acquired Condition Reduction Program (HACRP) were stratified by social risk, value-based penalties for safety-net hospitals decreased, according to a new study published...
Individual clinicians who must participate in Medicare’s Merit-Based Incentive Payment System (MIPS) for the 2020 performance period will automatically have the extreme and uncontrollable...
Accountable care organization (ACO) participation in the Medicare Shared Savings Program has hit a new low in 2021, according to new data from CMS.
The data dropped by CMS this week showed that 477...
2021 may not have started as the fresh page everyone was hoping for, but a new administration could be making some well-worn strategies more relevant.
In a new Healthcare Strategies podcast, the...
CMS is planning to expand a value-based purchasing model that rewards home health agencies for high-quality care and saves Medicare money.
The federal agency announced on Jan. 8 via email that it...
Reimbursing accountable care organizations (ACOs) for value in a primarily fee-for-service payment environment is creating implementation challenges for Vermont’s innovative All-Payer ACO Model,...
Value-based providers, like accountable care organizations (ACOs), may be at a disadvantage under new direct contracting options in Medicare that allow for a broad range of healthcare organizations to...
Healthcare data sharing is central to a successful value-based care strategy, according to Jamie Reedy, MD, MPH, chief of population health for Summit CityMD.
“If the physicians and care...
A new direct contracting model from CMS will test whether a geographic-based approach to value-based care can improve quality of care while reducing costs for Medicaid beneficiaries in a specific...
The definition of value is evolving, and so are the capabilities needed to support the transition to value-based care, industry experts recently shared at Xtelligent Healthcare Media’s...
