Medicare Chief Targets Upside-Only ACOs
May 7—Medicare accountable care organizations that don’t accept downside risk are not producing results, says Seema Verma, administrator of the Centers for Medicare & Medicaid Services.
Federal Health Policy Changes Expected After Mid-Terms
May 4—The healthcare industry should prepare for major federal healthcare policy changes after the federal congressional election five months from now, no matter which party is in the majority, say policy analysts.
May 6-11 Policy Watch: Hospital-Backed Data-Sharing Bill Gets Hearing
May 3—Legislation to allow more patient data sharing—long sought by hospitals—is expected to continue advancing in Congress next week.
Azar Plans ‘Fundamental Rethinking’ of Provider Pay
May 2—A newly proposed direct primary care payment model is part of a “fundamental rethinking of provider compensation” by the federal government, said Health and Human Services (HHS) Secretary Alex Azar II.
Where Health Plan-Provider Value-Based Partnerships Trip Up
May 1—An inability to successfully integrate clinical and claims data is among the key challenges in creating and sustaining health plan-provider value-based partnerships, said an executive involved in one such effort.
Medicare Offers Post-Acute Care Pay Boost
April 30—Faced with operating headwinds, post-acute care providers stand to garner an unexpected FY19 payment boost from Medicare.
April 30-May 4 Policy Watch: How Policymakers Aim to Support Healthcare Innovation
April 26—Senior Trump administration officials are likely to tout their efforts to support innovations in healthcare delivery during presentations next week at a Washington, D.C., health policy event. Some of the areas they still need to address came up in Congress this week.
Online Posting of Charges Among New Medicare Rules Proposals
April 25—Hospitals would be required to post their “standard charges” online by FY19 under Medicare rules proposed this week.
Emergency Department Visits Drop, Nonurgent Use Rises: CDC
April 23—Amid increasing efforts by private and public payers to rein in emergency department (ED) spending, recent federal data showed divergent trends between overall visits and nonurgent visits.
Latest ACO Trends Identified
April 20—Although private accountable care organizations (ACOs) appear to be gaining ground, the Medicare versions are still leading—amid challenges.