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HHS just unveiled 5 new value-based payment models. Here's what you need to know.

April 23, 2019


HHS on Monday announced an initiative intended to shift primary care providers and other eligible professionals from fee-for-service payments to value-based payments using five new voluntary payment models.

CMS proposes payment increases for SNFs, hospice facilities for FY 2020

April 22, 2019


CMS on Friday released proposed rules that would increase fiscal year (FY) 2020 Medicare payments for skilled nursing facilities by 2.5%, or $887 million, and hospice facilities by 2.7%, or $540 million, when compared with FY 2019.

Clinician participation in MACRA's QPP exceeded CMS' goals, new report shows

March 25, 2019


The number of clinicians who participated in MACRA's Quality Payment Program in 2017 exceeded CMS' initial goal, according to a report the agency released Wednesday.

This insurer teamed up with five health systems to launch a new value-based payment program

January 18, 2019


Blue Cross Blue Shield of North Carolina on Tuesday announced that it has reached an agreement with five health systems in the state to launch a value-based payment program similar to Medicare's Next Generation accountable care organization program.

CMS finalizes rule to make ACOs take on more risk

January 2, 2019


CMS has finalized a rule to overhaul the Medicare Shared Savings Program and accelerate the pathway for accountable care organizations to transition to two-sided risk models.

What providers like—and don't like—about CMS' proposal to overhaul MSSP

October 22, 2018


A few health care providers say they support some provisions of CMS' proposed rule to overhaul the Medicare Shared Savings Program, but many providers are voicing concerns.

Are MSSP ACOs hitting target savings? CMS says no, but a new report pushes back.

September 12, 2018


A new report from the National Association of ACOs finds that accountable care organizations (ACOs) participating in the Medicare Shared Savings Program generated $1.84 billion in savings between 2013 and 2015—nearly twice as much as the $954 million CMS data show the ACOs saved.

MSSP ACOs saved Medicare $313.7M last year, CMS data show

September 4, 2018


New CMS data show 60% of the accountable care organizations (ACOs) that participated in the Medicare Shared Savings Program for the 2017 performance year generated a total of about $1.1 billion in savings, while CMS paid about $780 million to ACOs in bonuses under the program for that year.

Next Generation ACOs saved $62M in first year, CMS says

August 28, 2018


CMS Administrator Seema Verma says the results for the Next Generation Accountable Care Organization (ACO) model's first performance year "provide further evidence that ACOs succeed under two-sided risk."

'Win-win': Why this Ohio hospital entered the real-estate business

August 27, 2018


Nationwide Children's Hospital over the last decade has invested more than $6 million in the nearby Southern Orchards neighborhood in Columbus, Ohio—and the arrangement is turning out to be beneficial both for the hospital and its patients.

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