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1
Delivery System Reform 2.0: Scaling Alternative Payment Models Is The New Normal
For some health care providers, a pair of recent announcements made by the Obama Administration to implement mandatory alternative payment models (APMs) for home health value-based purchasing and bundled payments for hip and knee episodes of care will come as a shock.
United States
14 Jul 2015
2
Health Care Update & Telehealth Policy Alert
In the previous Congress, we saw a burst of policy and industry attention to telehealth as lawmakers and stakeholders alike recognized the cost, quality, and accessibility benefits of telehealth.
United States
17 Jun 2015
3
CMS Releases Final Rule For The Medicare Shared Savings Program
On June 4, 2015, the Center for Medicare & Medicaid Services ("CMS") released the highly anticipated Final Rule ("Final Rule") updating the Medicare Shared Savings Program ("Shared Savings Program").
United States
11 Jun 2015
4
Over A Decade In The Making: CMS Releases Long-Awaited Medicaid Managed Care Rule
This represents the first major overhaul of the Medicaid managed care system since the rules were established in 2002, now covering approximately seventy percent of all Medicaid enrollees.
United States
9 Jun 2015
5
Health Care Update & Telehealth Policy Alert - June 2, 2015
In the previous Congress, we saw a burst of policy and industry attention to telehealth as lawmakers and stakeholders alike recognized the cost, quality, and accessibility benefits of telehealth.
United States
8 Jun 2015
6
ACO Model Expansion Hinges On Increasing Medicare Program Flexibility
Earlier this month, HHS Secretary Silvia Burwell made a game-changing announcement about the Obama Administration's most significant alternative payment model.
United States
29 May 2015
7
Beyond SGR – MACRA Provides Additional Payment Provisions And Offsets
This is the second post in our continuing series on the Medicare Access and CHIP Reauthorization Act (MACRA). Pub.L. No: 114-10.
United States
22 Apr 2015
8
With SGR Repealed, Replacement Policy Creates New Priorities
Health policy experts have long called for an end to the annual, or even sometime monthly, ritual of "patching" the SGR to avoid reimbursement cuts triggered by unsustainable growth in Medicare spending.
United States
21 Apr 2015
9
Proposed Replacement Of Sustainable Growth Rate Addresses Telehealth
Without reform or another patch, physicians would face a close to 25 percent cut in payments when the current patch expires at the end of this month.
United States
24 Mar 2015
10
Obama Administration Announces "Next Generation ACOs"
The Centers for Medicare and Medicaid Services (CMS) released details for a new Accountable Care Organization (ACO) program called the Next Generation ACO (NGACO).
United States
13 Mar 2015
11
HHS Payment And Delivery Reform Announcement Sets Priorities For Remainder Of Obama Administration
One week prior to the unveiling of the President’s first budget under a completely Republican-controlled Congress, the Department of Health and Human Services (HHS) made its most formal announcement yet on the Obama Administration’s efforts to reduce total Medicare and Medicaid spending.
United States
3 Feb 2015
12
Telehealth, Health IT, And mHealth Policy: Considerations For Stakeholders
In the 114th Congress, there is reason to believe the momentum for policy to address telehealth will only continue, if not increase in pace.
United States
12 Jan 2015
13
On The Verge Of Melt-Down: Core Of ACA At Risk And Remedial Options Scant If Supreme Court Rules Against Government In King v. Burwell
The Supreme Court took what appears to be an unusual step in accepting review of King v. Burwell without the necessity or the benefit of a clear split on the outcome.
United States
6 Jan 2015
14
States Doubling Down On Delivery And Payment Reform Efforts
Although health care reform implementation via the Affordable Care Act has focused mostly on federal changes to the health care marketplace, individual States are getting some much needed help to design and implement their own efforts to improve quality and lower health system costs.
United States
31 Dec 2014
15
HHS Announces $840 Million Initiative To Improve Patient Care And Lower Healthcare Costs
Mr. Conway described the initiative as "part of a larger strategy for health system transformation."
United States
13 Nov 2014
16
CMS Releases MSSP And Pioneer ACO Data On Shared Savings And Losses – Where Do We Go From Here?
CMS announced key shared savings and losses results of Accountable Care Organizations that began participating in the Medicare Shared Savings Program in 2012 or 2013.
United States
16 Oct 2014
17
Weekly Health Care Update - August 11, 2014
House Ways and Means Subcommittee on Health Chairman Kevin Brady released a discussion draft of the Protecting Integrity Medicare Act of 2014—the Committee’s expansive bill to address fraud in the Medicare and Medicaid systems.
United States
19 Aug 2014
18
CMS Expands Payment Reform To Outpatient Care In New RFI
Citing the need to complement a portfolio of pilot projects that focus mostly on primary care and the inpatient setting, CMS released a Request for Information (RFI) on February 11th, seeking input on potential payment and care delivery models that focus on outpatient specialty care and complex/chronic disease management care.
United States
16 Feb 2014
19
ACOs Show Some Savings Potential: Legislative And Regulatory Initiatives Ramping Up
The evolution of Accountable Care Organizations (ACOs) will be a big factor this year as the Obama Administration continues to focus on curbing health care spending and Congress ramps up its efforts to address physician payment and delivery system reform.
United States
5 Feb 2014
20
CMS Announces 123 New ACOs; Doubles Down On Pioneer ACO Program
Accountable Care Organizations (ACOs) continue to figure big in CMS’s health care reform agenda. On December 20th, the agency’s Innovation Center published a Request for Information (Pioneer RFI) seeking input on how to create the next generation of the Pioneer ACO program that began two years ago.
United States
2 Jan 2014
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