After big payouts, Medicare may throttle back bundled payment program
Most BPCI-A participants could see bonuses dry up if proposed changes in the program are implemented.
Walmart’s launch of a Medicare Advantage plan will likely impact provider service volumes
HFMA's Chad Mulvany says if Walmart applies its experience reducing healthcare costs for its associates to its new MA products, it will reduce utilization for healthcare services.
COVID-19 impact on independent primary care physician practices could accelerate the shift to value based payment
Health plans are taking this opportunity to align more closely with independent PCPs, including BCBS of North Carolina, where practices’ acceptance of financial support requires them to join one of health plan’s existing ACOs.
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.