Value Based Payment

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.

Rich Daly August 9, 2018

July 23-27: Providers Examining Why APMs Are Expected to Stall

July 19—Provider organizations next week will continue their analysis of the recently issued massive Medicare physician payment proposed rule, including the surprise projection that alternative payment model (APM) participation may decline.

Rich Daly July 20, 2018

March Toward Value-Based Care Slipping: Survey

July 18—A new survey of physicians and health plan execs says the march toward value-based care is slipping, throwing shade on other surveys that say the transition to outcomes-based payment is on track.

David Burda July 18, 2018

Trump Administration to Replace Value-Based Payment Goal

June 20—Department of Health and Human Services (HHS) Secretary Alex Azar II has rejected the Obama administration’s goal of shifting 50 percent of Medicare payments to value-based payment models by the end of 2018.  

Rich Daly June 21, 2018

The Trump Administration’s Approach to Value

Ever since HHS Secretary Alex Azar announced that one of his priorities for the U.S. healthcare system would be to accelerate the shift to value-based care, industry stakeholders have awaited insight into how he would turn that priority into to policy action. 

Lia Winfield, PhD June 5, 2018

How Medicare ACOs May Respond to Spiking Risk

May 29—Accountable care organization (ACO) leaders are girding for changes to the Medicare ACO program that may require the vast majority in upside-only models to take on downside risk.

Rich Daly May 30, 2018

Navigating Value-Based Reimbursement

A roundtable discussion about value-based reimbursement challenges, opportunities, and strategies for success.

HFMA May 24, 2018

Value-Based Care Is a Better Investment for Everyone

Griffin Myers explains the value of value-based care.

Griffin Myers May 24, 2018

Former CMS Leaders: ACO Changes Are Coming

May 11—Medicare accountable care organizations (ACOs) are likely to face an imminent overhaul, according to former leaders of the program.

Rich Daly May 14, 2018

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.

Rich Daly May 7, 2018
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