Reimbursement
The decision comes after CMS lost two court cases, but the agency says it reserves the right to appeal.
Change is needed on Capitol Hill, which is why the Digital Therapeutics Alliance summit was held in D.C., says Andy Molnar, president of the group.
CMS has been ordered to redetermine the star ratings, which Elevance says should be higher.
The current HHS formula costs hospitals more than a billion dollars each year, says AHA.
"Today's decision is a victory for Tribal self-determination and Tribal sovereignty," says Mark Macarro.
HIMSS24
Providers bypass the manual process for medical record requests through ChartSwap's automated system, says president Nate Kelly.
The ruling could have industry-wide implications for other MA plans seeking to raise their star ratings and bonuses.
HIMSS24
MedeAnalytics and HSBlox are able to work out friction points, develop contracts, pay providers and use analytics to measure performance for value-based care, says David Wolf, MedeAnalytics AVP, and Lynn Carroll, HSBlox COO.
Medicare Advantage may be a victim of its own success as more seniors - and a more sickly population - moves into it.
An estimated 130 ACOs are expected to participate in the five-year voluntary ACO Primary Care Flex Model that kicks off on January 1, 2025, says David Morris, EVP at Cedar Gate Technologies.