Policy and Legislation
Bipartisan concern over Medicare policies driving hospital consolidation has been long-standing, but conflicting evidence has clouded the waters, lawmakers said.
Agency evaluation of Next Gen sets stage for ACOs to qualify as Advanced APMs under MACRA and get incentive payments.
Absent more rigorous federal regs, Pew Charitable Trusts, MedStar Health and AMA offer model test cases to help vendors and providers detect potentially dangerous usability risks.
The study found an immediate reduction in the percentage of people hospitalized without insurance, particularly among states that expanded Medicaid.
The unpopular proposal to collapse payment rates for certain office visit services could hurt physicians, other healthcare professionals that treat the sickest patients, the groups said.
The work will focus on challenges including behavioral health, women and infant care, substance use disorder and avoidable emergency department visits.
There are potentially substantial financial benefits to be gleaned from sociodemographic adjustment for safety net hospitals.
Democratic representatives called the loss of health coverage the "perverse result that even the proponents of these new requirements should oppose."
It's the first time that CMS has formally outlined how states should calculate budget neutrality for demonstration projects in order to strengthen fiscal accountability.
The organization aligned 17 health systems to work toward decreasing Medicaid costs and improving care.