Should Physician-Led Models Get Value-Based Payment Privileges?
Joe Damore and Shawn Griffin describe the potential issues of granting special privileges to physician-led alternative payment models.
Aug. 13-17: Senate to Vote on HHS Funding
Aug. 10—The U.S. Department of Health and Human Services (HHS) would receive a small increase and funding for several hospital priorities under a FY19 funding bill that the Senate is expected to vote on next week.
6 Tactics of Successful ACOs
To gain the assurance of success under value-based care, all accountable care organizations (ACOs) should adopt the best practices of the most high-performing ACOs.
CMS Official: Logistical Limits Restricting New Payment Models
Aug. 8—Medicare has not approved more alternative payment models—despite calls by many hospitals and physicians for more of them—due to limits in time, staff, and funding, a Medicare executive said.
Are Employers Rethinking High-Deductible Plans?
Aug. 7—Employers that provide insurance for their workers are expressing an unusual degree of reluctance about high-deductible health plans (HDHPs).
IPPS Rule Includes Pay Bump, Reporting Simplification
Aug. 6—More than 3,000 hospitals will receive an average increase of nearly 3 percent in their Medicare inpatient payment rates—along with a slew of policy changes—under a recently issued final rule.
Aug. 6-10: As Navigator Deadline Approaches, Individual-Insurance Market Strengthens
Aug. 2—As the Trump administration prepares to accept the latest round of navigator applications this week, the individual health insurance market appears to be strengthening.
Medicare Offers $1 Billion Increase, Policy Changes for Post-Acute Providers
Aug. 1—Post-acute care providers will see more than a $1 billion pay boost for FY19—along with a range of policy changes—as described in annual final rules issued by Medicare this week.
Medicare Proposes $760 Million 2019 Hospital Cut
July 27—A range of major hospital policy changes includes a $760 million cut as part of the 2019 Hospital Outpatient Prospective Payment System (OPPS) proposed rule.
Number of MSSP ACOs and Shared-Savings Characteristics
The number of ACOs participating in the Medicare Shared Savings Program increased at a faster rate from 2013 to 2018 than did the number of participants that achieved shared savings in the first four years of the program.