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Health care organizations comment on proposed ACO benchmark changes

April 7, 2016


Dignity Health says the changes, "if executed correctly," could bring new participants into the Medicare Shared Savings Program and bolster its long-term viability.

Obama admin reaches 2016 value-based payments goal

March 4, 2016


CMS CMO Patrick Conway says the Obama administration reached its goal of making 30 percent of Medicare payments through value-based payment models nearly a year ahead of its target date.

Stakeholders Comment on Proposals To Improve Medicare Chronic Care Management

February 2, 2016


The proposals, which include eliminating geographic restrictions for telehealth coverage and creating a new billing code for chronic care management, are included in a Senate Finance Committee working group's report on the management of care for Medicare beneficiaries with multiple chronic conditions.

CMS Proposes Changes to Certain ACO Benchmarks

January 29, 2016


Under a proposed rule, CMS would compare accountable care organization spending with trends in regional fee-for-service costs to determine whether ACOs have saved money.

CMS Announces 21 Next Generation ACO Participants

January 12, 2016


CMS' four accountable care programs now include 477 organizations, which will provide care for a total of about 8.9 million Medicare beneficiaries.

CMS Updates Quality Data on Hospital, Physician Compare Websites

December 11, 2015


The addition of individual physician performance data to the Physician Compare website comes amid criticism from the American Medical Association.

Medicaid Association To Launch Value-Based Purchasing Analysis

December 1, 2015


The National Association of Medicaid Directors says it is important for CMS to recognize that fundamental differences between Medicaid and Medicare affect how alternative payment models are designed and implemented.

Two More Pioneer ACOs Drop Out of Program

November 6, 2015


Sixteen organizations have exited CMS' Pioneer Accountable Care Organization program.

HHS Finalizes Rule for ACO Anti-Kickback Law Waivers

October 30, 2015


HHS says it will continue to monitor the progress of accountable care organizations and shared-savings arrangements and adjust future rules if necessary.

N.C. Overhauls Medicaid Program in Transition Toward Managed Care

October 28, 2015


The move is called for under a law that directs the state to shift away from traditional fee-for-service Medicaid reimbursements.

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