110,000 Medicare beneficiaries were hospitalized for COVID-19 by mid-May
By mid-May, hospitals had treated 110,000 Medicare beneficiaries for COVID-19.
Texas Oncology streamlines operations to achieve success in Medicare value-based payment model
The experience of Texas Oncology in CMS’s Oncology Care Model shows how provider organizations can use change management processes to lay the foundation for success in new care delivery models.
Bundled payment participants face choices on 2020 performance measurement, continued participation
CMS further detailed how hospitals should evaluate their 2020 options and whether to continue in the BPCI-A model.
CMS aims to spur value-based payment arrangements between drugmakers and insurers, including Medicaid
CMS says rule changes would allow more outcomes-based payment arrangements for Medicaid programs and commercial health plans.
Medicare reopens application period for Direct Contracting models
CMS opened the application process for Direct Contracting models to more providers.
Intermountain Healthcare to provide hospital-at-home services for some higher-acuity patients
The move to hospital at home for higher-acuity patients by some health systems can create savings for their Medicare Advantage and other full risk products and for its Administrative Services Only clients.
Where are Medicare value-based payment models headed after COVID-19?
The pandemic-driven changes in policies, payment and patient attitudes could change participation in and provider approaches to value-based payment models, say advisers.
Optum’s naviHealth acquisition will help lower the total cost of care for UHC members and Optum physician practice patients
Optum's naviHealth purchase rounds out is capabilities, ensuring its UHC members — particularly MA members and Optum's practices' patients — receive the right care in the right setting at the right time post hospitalization.
CMS acts to limit losses for participants in value-based payment programs during COVID-19
CMS offered numerous ways that providers in value-based payment models can reduce their financial risk during the COVID-19 pandemic.
Study: Medicare Advantage enrollees less likely than traditional Medicare enrollees to use both institutional post-acute care and home health care
HFMA's Chad Mulvany says where there is competition for PAC discharges, providers should partner with high-quality PAC providers.