Accountable Care
The statewide experiment aims to test new payment systems, prevent unnecessary treatments, constrain overall growth in the cost of services and drugs, and address public health problems such as opioid abuse.
But the Congressman is a fan of state-crafted healthcare policy, especially when it comes to Medicaid.
Leaders share what is still needed to provide the best care while safeguarding the health of the sector.
Higher proportion of minority patients was associated with worse scores on 25 of 33 Medicare quality performance measures.
Health Affairs report suggests these hospitals discharged to skilled nursing facilities more effectively or did a better job at targeting at-risk patients.
Money will support expanding partnerships with commercial and Medicare Advantage health plans.
Most agree that no matter what else may change, quality payment programs under the Medicare Access and CHIP Reauthorization Act, or MACRA, will continue.
CMS is also testing new Person Centered Community Care, or P3C, model for dually-eligible individuals who are at least 21 and have disabilities that impair their mobility, requiring nursing home care.
Agency predicts the new opportunities will mean 25 percent of clinicians in QPP will be a part of the APMs.
With Tom Price leading HHS and Seema Verma at the CMS helm, hospitals should brace for value-based pullback, problems accessing capital, Paul Keckley says.