Long-term effects of missed care get more pronounced as data emerges
Researchers are increasingly concerned that patients are missing both needed care management and early detection of serious illness, which could have long-term cost implications.
Changes coming to bundled payments and Direct Contracting, CMMI chief says
Coming changes will affect both Medicare bundled payment programs and the looming Direct Contracting program, said the director of the Center for Medicare and Medicaid Innovation.
More Medicaid programs are planning inpatient hospital payment cuts
States are moving to cut their Medicaid inpatient hospital rates amid the pandemic and its more than 400,000 hospitalizations.
CMS to add COVID-19-related waivers to value-based payment models, Verma says
Medicare plans to add pandemic-era waivers to its value-based payment models as a way to incentivize provider participation.
340B cuts, inpatient-only elimination lead hospitals’ OPPS concerns
Proposed OPPS cuts for 340B hospitals and outpatient payment changes drew the most concerns from hospitals and advocates.
Q&A: Humana expands value-based payment push
One MA health plan discusses how it’s pushing further into value-based payment and what that means for providers.
Proposed change to Medicare E/M payment leads to disagreement among both providers and health plans
Medicare physician payment changes for evaluation and management could have dire financial repercussions for some practices, providers warn.
Hospitals get relaxed Medicare repayment terms, short delay of DSH cut in federal funding bill
Hospitals will get some flexibility in the repayment of Medicare advance payment loans and a delay in uncompensated-care payment cuts under a new federal funding law.
Hospitals to lose Medicare, Medicaid access in 14 weeks if they don’t meet daily reporting requirements
Hospitals will have 14 weeks to meet daily data-reporting requirements related to COVID-19 and the flu or face termination from Medicare and Medicaid.
Public health emergency extended, $20 billion more in provider aid to be released
The COVID-19 public health emergency was extended to January and a new round of federal funding was issued for ongoing pandemic-response expenses.