Medicare & Medicaid
The new model was unveiled in March to test whether alternative payments would have given incentives to prescribe less costly drugs. CMS withdrew the proposal after a CMMI review.
Agency predicts the new opportunities will mean 25 percent of clinicians in QPP will be a part of the APMs.
State-based effort is an Innovation Center initiative for clinicians to participate in advanced alternative payment models under MACRA.
Introduced in House and Senate, bill would allow people who miss initial enrollment deadline to sign up in the fall, coverage would begin the month after they enroll.
Dialysis facilities are getting at least $100,000 more per year, per patient, if the patient is covered in a commercial plan rather than getting public coverage, CMS says.
While focus on care coordination and consumerism may likely continue, insiders worry that too much change could hurt them.
One model will test whether a four-step process to integrate shared decision-making into routine clinical practice lowers cost while improving quality.
A successful shift from volume to value requires a close link between the federal government and the private sector.
The findings were consistent with a September report by the Congressional Budget Office which indicated many hospitals would be underwater.
HFMA identified a number of different policy proposals and ranked them in terms of probability and positive or negative financial impact.