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This model is part of a strategy to use the redesign of primary care as a platform to drive broader healthcare delivery system reform.
The order outlines sweeping policy and regulatory proposals including modifying Medicare fee for service payments to reflect the prices paid in MA plans and the commercial market.
Acting Centers for Medicare and Medicaid Services Administrator Andy Slavitt on Tuesday shocked many in healthcare when he laid out an aggressive timeline to replace the meaningful use program, a electronic health records mandate and incentive program that healthcare providers put millions into.
Acting Centers for Medicare and Medicaid Services Administrator Andy Slavitt on Tuesday shocked many in healthcare when he laid out an aggressive timeline to replace the meaningful use program, a electronic health records mandate and incentive program that healthcare providers put millions into.
While the Centers for Medicare and Medicaid Services announced a year's grace period this summer when it comes to claims coded with ICD-10, not all large commercial payers are following suit.
While the Centers for Medicare and Medicaid Services announced a year's grace period this summer when it comes to claims coded with ICD-10, not all large commercial payers are following suit.
Jay LaBine, MD, is a surgeon working at the forefront of America's changing healthcare economy, the provider-sponsored health plan.
Given the shift of healthcare resources to primary and preventive care, there are real, long-standing problems with the health insurance model that could be solved uniquely when the payer is owned by the provider business getting paid.
Proposal brings falling payments for insurers, potentially disruptive options for health systems.
Medicare Advantage remains an attractive option for Medicare beneficiaries, and enrollment has increased substantially, by 66 percent in the past six years. Also increasing, it seems, is coding intensity for risk adjustments.