The CMS Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model reduced Medicare fee-for-service episode payments for both surgical and medical episodes, according to a new report for CMS...
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...
CMS will reweight the cost performance category under the Merit-Based Incentive Payment System (MIPS) for the 2021 performance period due to the COVID-19 pandemic’s impact on clinicians and cost...
Three healthcare providers—Fresenius Health Partners, the value-based care division of Fresenius Medical Care North America, InterWell Health, and Cricket Health—have entered into a...
Medicare Advantage beneficiaries whose primary care organization participated in a value-based payment model saw lower rates of hospitalizations, observation stays, and emergency department visits,...
Implementing stratification within the Medicare Hospital Readmissions Reduction Program (HRRP) helped improve health equity by decreasing penalty rates for safety-net hospitals, rural hospitals, and...
More than 200 healthcare organizations, including Physicians for a National Health Program (PNHP) and the American Medical Student Association, have urged CMS and HHS to terminate the ACO REACH model,...
The National Association of ACOs (NAACOS) has launched a coalition to help providers learn about and prepare for the new ACO Realizing Equity, Access, and Community Health (REACH) model.
The coalition...
Collective participation in delivery system and payment reform programs, including accountable care organizations (ACOs), was not generally associated with improved health services outcomes in primary...
CMS has overhauled the Global and Professional Direct Contracting model and announced the ACO Realizing Equity, Access, and Community Health (REACH) model. The redesigned accountable care organization...
A group of former appointees under the Obama administration are urging federal officials to preserve the Global and Professional Direct Contracting model, stating that the model helps accountable care...
More than 200 healthcare organizations, including America’s Physician Groups (APG) and the National Association of ACOs (NAACOS), have urged the Department of Health and Human Services (HHS) to...
Value-based care platform Signify Health has signed an agreement to acquire Caravan Health and aims to increase participation in value-based payment models and improve patient outcomes.
The merger...
More than 700 hospitals will face value-based penalties in fiscal year 2022 after underperforming in Medicare’s Hospital-Acquired Condition (HAC) Reduction Program, according to an Advisory Board...
A group of eight healthcare organizations, including the American Medical Association (AMA) and National Association of ACOs (NAACOS), have asked Congress to increase their efforts in promoting...
Despite a decades-long push toward value-based payment, physician compensation arrangements at health system-owned practices still primarily revolves around the volume of services delivered, according...
Accountable care organizations (ACOs) in the Medicare Shared Savings Program will care for more beneficiaries in 2022, making it the largest alternative payment model in Medicare despite lackluster ACO...
More than 50 lawmakers led by US Representative Pramila Jayapa urged the Biden administration to discontinue the Medicare Direct Contracting (DC) program and transition Medicare...
A study analyzing Choosing Wisely recommendations found that nearly 50 percent of identified low-value services may cause direct potential harm.
Published in JAMA Network, researchers...
CMS has notified providers via email that it will not move forward with the Seriously Ill Population (SIP) Component of the Primary Care First Model. The Model started in 2021 but the Biden...
