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This state is making 'the biggest bet yet' on value-based care

August 28, 2019


North Carolina and its largest private insurer recently have launched initiatives to move away from a fee-for-service model, toward value-based care, and several of the initiatives are showing early signs of success.

Weekly Line: Would Medicare for All really cause 'every hospital' to close?

July 26, 2019


Health reform is shaping up to be a key topic in the 2020 Democratic presidential primaries, and "Medicare-for-All" proposals are perhaps the most contentious component of the debate. 

Fewer ACOS joined MSSP in 2019—but more are taking on risk, data show

July 19, 2019


Fewer accountable care organizations (ACOs) joined the Medicare Shared Savings Program in 2019 than in 2018—but more ACOs are taking on financial risk than in previous years, CMS Administrator Seema Verma announced in a Health Affairs blog published Wednesday.

MACRA's Advanced APM track attracted more clinicians in 2018, CMS says

July 17, 2019


The number of clinicians who participated in MACRA's Advanced Alternative Payment Model track increased from 2017 to 2018, while the number of clinicians who participated in MACRA's Merit-based Incentive Payment System decreased, according to preliminary data CMS released Thursday.

House panel advances bill to address 'surprise' medical bills—but will it go any further?

July 15, 2019


The House Energy and Commerce Health Subcommittee on Thursday advanced a bill to address so-called "surprise" medical bills by setting a benchmark payment rate for out-of-network services.

CMS proposes mandatory bundled payment model for radiation oncology

July 12, 2019


CMS on Wednesday issued a proposed rule to implement a mandatory bundled payment model intended to replace Medicare's current fee-for-service payment model for radiation oncology in certain geographic regions.

Inside Trump's plan to overhaul kidney care, donation process

July 11, 2019


President Trump on Wednesday issued an executive order that calls on HHS to overhaul the kidney care and donation allocation process, and HHS shortly after unveiled new payment models for Medicare providers who manage patients with kidney disease and end-stage renal disease.

Weekly Line: Why this expert thinks CMS' new value-based payment models are 'top of the list'

May 31, 2019


CMS' Center for Medicare and Medicaid Innovation (CMMI) last month unveiled the CMS Primary Cares initiative, the agency's latest effort to shift the U.S. health system toward paying for quality rather than quantity.

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.

Teaching, rural hospitals faced reduced readmission penalties after CMS update, study shows

April 22, 2019


Teaching hospitals, rural hospitals, and others that serve a high proportion of dual-eligible patients faced lower penalties under Medicare's Hospital Readmissions Reduction Program in fiscal year 2019 after CMS updated how the program calculates penalties, according to a study published last week.

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